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Contact Information

THE INDIGO CHILD THERAPEUTIC LLC
7491 OLD ALEXANDRIA FERRY RD
CLINTON, MD20772
 Phone: 202-277-5378
 Fax: 240-269-7799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Behavior Analyst

103K00000X
 

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Occupational Therapy Assistant

224Z00000X
 

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for THE INDIGO CHILD THERAPEUTIC LLC · (Female)

NPI # 1912514910
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2020
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • MD Medicaid 444331400
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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