MEDICARE: QOL COMMUNICATION SERVICES, 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	235Z00000X	Speech-Language Pathologist	05608	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336486448
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QOL COMMUNICATION SERVICES, LLC

Provider Business Mailing Address
First Line	:	9722 GROFFS MILL DR # 247
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	410-428-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	9722 GROFFS MILL DR # 247
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-6341
Country	:	US
Telephone Number	:	410-428-9330
Fax Number	:

Authorized Official
Title or Position	:	SPEECH-LANGUAGE PATHOLOGIST
Name	:	MS. YASMINAH ABDULLAH
Credential	:	M.S. CCC-SLP
Telephone Number	:	410-428-9330

Provider Enumeration Date	:	01/09/2013
Last Update Date	:	01/09/2013

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Directions to “QOL COMMUNICATION SERVICES, LLC ” Practice Location

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