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CONNOR D DIETZ, B.S. SLPA – NPI #1700350857
Speech-Language Assistant

NPI Profile for CONNOR D DIETZ in LA PLATA, MD.

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Contact Information

CONNOR D DIETZ, B.S. SLPA
5980 RADIO STATION RD
LA PLATA, MD  20646-3337
 Phone: 410-212-0974
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Speech-Language Assistant

 2355S0801X
Indicates primary specialty

NPI Profile & details for CONNOR D DIETZ · (Male)

NPI # 1700350857
Status Active
Credentials B.S. SLPA
Entity Individual
Enumeration date 01/11/2019
Last updated 01/11/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MD License # 00156A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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