MEDICARE: MAGGIE DREW

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	390200000X	Student in an Organized Health Care Education/Training Program
2	235Z00000X	Speech-Language Pathologist	08491	MD

General Provider Information

NPI Number	:	1568813889
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAGGIE DREW

Provider Business Mailing Address
First Line	:	174 N MECHANIC ST
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2316
Country	:	US
Telephone Number	:	240-284-3632
Fax Number	:

Provider Business Practice Location Address
First Line	:	174 N MECHANIC ST
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-2316
Country	:	US
Telephone Number	:	240-284-3632
Fax Number	:

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	05/17/2025

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Directions to “ MAGGIE DREW ” Practice Location

Language	Start Address	Practice Location

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