Healthcare Provider Details

I. General information

NPI: 1801708755
Provider Name (Legal Business Name): JOSIAH NUGUID
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6520 FREETOWN RD
COLUMBIA MD
21044-4099
US

IV. Provider business mailing address

10910 CLARKSVILLE PIKE
ELLICOTT CITY MD
21042-6106
US

V. Phone/Fax

Practice location:
  • Phone: 410-313-7065
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number03381L
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: