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NPI Code Detail

MEDICARE: JUDITH ANN EDGHILL MS CCC-SLP/A

MEDICARE: JUDITH ANN EDGHILL MS CCC-SLP/A
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
1235Z00000XSpeech-Language Pathologist03313MD

General Provider Information

NPI Number : 1275861981
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUDITH ANN EDGHILL MS CCC-SLP/A
Provider Business Mailing Address
First Line : 12405 NEWCASTLE FARM WAY
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20772-3162
Country : US
Telephone Number : 202-413-1769
Fax Number :
Provider Business Practice Location Address
First Line : 7420 MARLBORO PIKE
Second Line :
City : FORESTVILLE
State : MD
Zip : 20747-4343
Country : US
Telephone Number : 301-736-0240
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2009
Last Update Date : 11/19/2009

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Directions to “ JUDITH ANN EDGHILL MS CCC-SLP/A” Practice Location

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