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NPI Code Detail

MEDICARE: COGNISPEECH AND SWALLOW LLC

MEDICARE: COGNISPEECH AND SWALLOW 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
1235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1568325264
Entity Type Code : Organization
Provider Name (Legal Business Name) : COGNISPEECH AND SWALLOW LLC
Provider Business Mailing Address
First Line : 16701 MELFORD BLVD STE 400
Second Line :
City : BOWIE
State : MD
Zip : 20715-4411
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 16701 MELFORD BLVD STE 400
Second Line :
City : BOWIE
State : MD
Zip : 20715-4411
Country : US
Telephone Number : 240-600-8005
Fax Number :
Authorized Official
Title or Position : OWNER AND OPERATOR
Name : TAMMY WOODBURY-BELLAMY
Credential : M.S., CCC-SLP
Telephone Number : 240-600-8005
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “COGNISPEECH AND SWALLOW LLC ” Practice Location

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