Healthcare Provider Details

I. General information

NPI: 1144119066
Provider Name (Legal Business Name): SPECIAL EDUCATION EQUAL DEVELOPMENT SOCIETY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2025
Last Update Date: 07/03/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14507 RICH BRANCH DR
NORTH POTOMAC MD
20878-2466
US

IV. Provider business mailing address

14507 RICH BRANCH DR
NORTH POTOMAC MD
20878-2466
US

V. Phone/Fax

Practice location:
  • Phone: 240-618-6614
  • Fax:
Mailing address:
  • Phone: 240-618-6614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JINGFENG HUANG
Title or Position: MANAGER
Credential:
Phone: 240-618-6614