Healthcare Provider Details

I. General information

NPI: 1215706643
Provider Name (Legal Business Name): CHARM CITY SPEECH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2023
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7315 POINT PATIENCE WAY
ELKRIDGE MD
21075-7917
US

IV. Provider business mailing address

7315 POINT PATIENCE WAY
ELKRIDGE MD
21075-7917
US

V. Phone/Fax

Practice location:
  • Phone: 443-799-7176
  • Fax:
Mailing address:
  • Phone: 443-799-7176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

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