Healthcare Provider Details
I. General information
NPI: 1013859735
Provider Name (Legal Business Name): THE VIRTUAL SPEECH ROOM, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
68 E HEATH ST
BALTIMORE MD
21230-4840
US
IV. Provider business mailing address
PO BOX 144
HANOVER MD
21076-0144
US
V. Phone/Fax
- Phone: 570-977-1833
- Fax:
- Phone: 570-977-1833
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MEGAN
HARDY
Title or Position: OWNER/ CEO
Credential: M.S., CCC-SLP
Phone: 570-977-1833