Healthcare Provider Details

I. General information

NPI: 1619435500
Provider Name (Legal Business Name): MONTOIA BOND
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2019
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 AMERICAN WAY APT 345
OXON HILL MD
20745-4528
US

IV. Provider business mailing address

250 AMERICAN WAY APT 345
OXON HILL MD
20745-4528
US

V. Phone/Fax

Practice location:
  • Phone: 757-784-5994
  • Fax:
Mailing address:
  • Phone: 757-784-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number09381
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number2202007173
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: