Healthcare Provider Details

I. General information

NPI: 1922132653
Provider Name (Legal Business Name): COMPTROLLER OF MARYLAND CENTRAL PAYROLL BUREAU
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/16/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LEFRAK HALL
COLLEGE PARK MD
20742-0001
US

IV. Provider business mailing address

110 LEFRAK HALL
COLLEGE PARK MD
20742-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-405-4218
  • Fax: 301-314-2023
Mailing address:
  • Phone: 301-405-4218
  • Fax: 301-314-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: DR. NAN RATNER
Title or Position: CHAIR
Credential: ED.D
Phone: 301-405-4217