Healthcare Provider Details

I. General information

NPI: 1407786908
Provider Name (Legal Business Name): OUTSIDE THE CHATTERBOX THERAPIES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 S BENTZ ST
FREDERICK MD
21701-5505
US

IV. Provider business mailing address

3 S BENTZ ST
FREDERICK MD
21701-5505
US

V. Phone/Fax

Practice location:
  • Phone: 443-994-6894
  • Fax:
Mailing address:
  • Phone: 443-994-6894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. JULIANA EVELYN CAMPONESCHI
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: M.S. CCC-SLP
Phone: 443-994-6894