Healthcare Provider Details

I. General information

NPI: 1316801228
Provider Name (Legal Business Name): THOMAS HUBER
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 LYNBROOK DR
BETHESDA MD
20814-4642
US

IV. Provider business mailing address

8001 LYNBROOK DR
BETHESDA MD
20814-4642
US

V. Phone/Fax

Practice location:
  • Phone: 240-740-5500
  • Fax:
Mailing address:
  • Phone: 240-740-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11134
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: