Healthcare Provider Details

I. General information

NPI: 1447179080
Provider Name (Legal Business Name): CHARM CITY SPEECH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8865 STANFORD BLVD
COLUMBIA MD
21045-5420
US

IV. Provider business mailing address

8865 STANFORD BLVD STE 161
COLUMBIA MD
21045-5420
US

V. Phone/Fax

Practice location:
  • Phone: 443-718-0563
  • Fax:
Mailing address:
  • Phone: 443-718-0563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: SWINITA SHAH
Title or Position: OWNER
Credential:
Phone: 443-799-7176