Pediatric Speech Lab
Speech-Language Pathologist · Waldorf, MD
Practice location
11350 Pembrooke Sq Ste 313Waldorf, MD 20603-4809
- Phone
- (301) 885-0033
NPI record
- NPI
- 1720524598
- Entity type
- Organization (Type 2)
- Enumeration date
- January 17, 2017
- Last updated
- September 1, 2022
- Certified
- August 19, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X |
SLP000879 | DC |
| Behavior Analyst | 103K00000X |
— | — |
| Assistant Behavior Analyst | 106E00000X |
— | — |
| Speech-Language Pathologist | 235Z00000X |
08341 | MD |
| Community/Behavioral Health Agency | 251S00000X |
— | — |
| Multi-Specialty Clinic/Center | 261QM1300X |
— | — |
Authorized official
- Name
- Ms. Quintina Maria Briscoe, M.S. CCC-SLP
- Title
- Speech-Language Pathologist/ Owner
- Phone
- (301) 885-0033
About Pediatric Speech Lab
Pediatric Speech Lab is a healthcare organization registered in the NPI registry with the primary taxonomy Speech-Language Pathologist (code 235Z00000X). The practice location is 11350 Pembrooke Sq Ste 313, Waldorf, MD 20603-4809. The NPI number 1720524598 was assigned on January 17, 2017 and the record was last updated on September 1, 2022.
Pediatric Speech Lab lists 2 licenses in the registry: #SLP000879 (DC) for Speech-Language Pathologist; #08341 (MD) for Speech-Language Pathologist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Ms. Quintina Maria Briscoe, M.S. CCC-SLP, Speech-Language Pathologist/ Owner.
Frequently asked questions
What is the NPI number of Pediatric Speech Lab?
The NPI number is 1720524598.
What is the phone number of Pediatric Speech Lab?
The phone number listed for the practice location is (301) 885-0033.
Where is Pediatric Speech Lab located?
11350 Pembrooke Sq Ste 313, Waldorf, MD 20603-4809.
What is the taxonomy code for Pediatric Speech Lab?
The primary taxonomy code is 235Z00000X – Speech-Language Pathologist; 5 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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