Healthcare Provider Details

I. General information

NPI: 1528615697
Provider Name (Legal Business Name): EMILY MILLER HEARD M.A., CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/22/2019
Last Update Date: 10/11/2026
Certification Date: 10/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13900 BROMFIELD RD
GERMANTOWN MD
20874-2293
US

IV. Provider business mailing address

13900 BROMFIELD RD
GERMANTOWN MD
20874-2293
US

V. Phone/Fax

Practice location:
  • Phone: 240-740-7830
  • Fax:
Mailing address:
  • Phone: 240-740-7830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number09451
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: