Healthcare Provider Details

I. General information

NPI: 1154244564
Provider Name (Legal Business Name): LITTLE SLPEA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8430 PLEASANT PLAINS RD
TOWSON MD
21286-8134
US

IV. Provider business mailing address

8430 PLEASANT PLAINS RD
TOWSON MD
21286-8134
US

V. Phone/Fax

Practice location:
  • Phone: 410-322-7377
  • Fax:
Mailing address:
  • Phone: 410-322-7377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHELSEA FURSHMAN
Title or Position: OWNER/ SPEECH LANGUAGE PATHOLOGIST
Credential: SLP/CCC
Phone: 410-322-7377