Healthcare Provider Details

I. General information

NPI: 1689852576
Provider Name (Legal Business Name): NATIONAL SPEECH/LANGUAGE THERAPY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2008
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20400 OBSERVATION DR STE 104
GERMANTOWN MD
20876-4086
US

IV. Provider business mailing address

20400 OBSERVATION DR STE 104
GERMANTOWN MD
20876-4086
US

V. Phone/Fax

Practice location:
  • Phone: 301-540-0445
  • Fax: 833-803-2521
Mailing address:
  • Phone: 301-540-0445
  • Fax: 803-833-2521

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: JEANNE ELLINPORT
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 301-799-3304