Healthcare Provider Details

I. General information

NPI: 1760645097
Provider Name (Legal Business Name): ANNA M LIMA MA-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNA LIMA MA-SLP

II. Dates (important events)

Enumeration Date: 07/07/2008
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1302 CRONSON BLVD STE B
CROFTON MD
21114-2064
US

IV. Provider business mailing address

10322 VISTA MEADOW WAY
LANHAM MD
20706-2894
US

V. Phone/Fax

Practice location:
  • Phone: 301-523-5770
  • Fax: 301-859-7356
Mailing address:
  • Phone: 301-532-6373
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202004552
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number38350
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number05195
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: