MEDICARE: CHARM CITY SPEECH, LLC

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	261QH0700X	Hearing and Speech Clinic/Center

General Provider Information

NPI Number	:	1215706643
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARM CITY SPEECH, LLC

Provider Business Mailing Address
First Line	:	7315 POINT PATIENCE WAY
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-7917
Country	:	US
Telephone Number	:	443-799-7176
Fax Number	:

Provider Business Practice Location Address
First Line	:	7315 POINT PATIENCE WAY
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-7917
Country	:	US
Telephone Number	:	443-799-7176
Fax Number	:

Authorized Official
Title or Position	:	SLP
Name	:	SWINITA SHAH
Credential	:	SLP
Telephone Number	:	443-799-7176

Provider Enumeration Date	:	12/27/2023
Last Update Date	:	05/25/2026

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Directions to “CHARM CITY SPEECH, LLC ” Practice Location

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