Healthcare Provider Details

I. General information

NPI: 1558278838
Provider Name (Legal Business Name): EMILY ANN PLUMMER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 E PASADENA RD
PASADENA MD
21122-4067
US

IV. Provider business mailing address

221 PRINCE GEORGE ST APT 2R
ANNAPOLIS MD
21401-1612
US

V. Phone/Fax

Practice location:
  • Phone: 410-222-5000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number11967
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: