National Provider Identifier Database

PEDIATRIC SPEECH LAB
Speech-Language Pathologist

A speech pathologist is a person qualified by a master?s degree in speech-language pathology, and where applicable, licensed by the state and practicing within the scope of the license. Also, known as speech therapist, a speech pathologist evaluates patients with language and speech impairments or disorders, whether arising from physiological and neurological disturbances, defective articulation or foreign dialects, and conducts remedial programs designed to restore or improve their communication efficacy. Speech pathologists assess and treat persons with speech, language, voice, and fluency disorders.


Contact Information

PEDIATRIC SPEECH LAB
11350 PEMBROOKE SQ STE 313
WALDORF, MD20603-4809
Phone: 301-885-0033
Fax:
Website:
Specialty Taxonomy Code
* Speech-Language Pathologist 235Z00000X
Assistant Behavior Analyst 106E00000X
Behavior Analyst 103K00000X
Community/Behavioral Health 251S00000X
Multi-Specialty 261QM1300X

* Indicates primary specialty

NPI Profile & details for PEDIATRIC SPEECH LAB

NPI Number 1720524598
Legal business name
LBN
PEDIATRIC SPEECH LAB
Authorized official QUINTINA BRISCOE - (SPEECH-LANGUAGE PATHOLOGIST/ OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/17/2017
Last updated 09/01/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • DC License #: SLP000879
  • MD License #: 08341

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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