MEDICARE: EMILY WEICHERT M.S., CF-SLP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	03072L	MD

General Provider Information

NPI Number	:	1194618900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY WEICHERT M.S., CF-SLP

Provider Business Mailing Address
First Line	:	602 FAIRMOUNT RD
Second Line	:
City	:	LINTHICUM
State	:	MD
Zip	:	21090-2814
Country	:	US
Telephone Number	:	443-630-0746
Fax Number	:

Provider Business Practice Location Address
First Line	:	8975 GUILFORD RD STE 190
Second Line	:
City	:	COLUMBIA
State	:	MD
Zip	:	21046-2386
Country	:	US
Telephone Number	:	202-670-2368
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2025
Last Update Date	:	06/09/2025

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