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NPI Code Detail

MEDICARE: CHARLEE UMSTEAD SLP

MEDICARE: CHARLEE UMSTEAD SLP
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 Pathologist08384MD

General Provider Information

NPI Number : 1578968905
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLEE UMSTEAD SLP
Provider Business Mailing Address
First Line : 4315 RIDGEWAY TER
Second Line :
City : PRINCE FREDERICK
State : MD
Zip : 20678-4427
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 ASBURY CIR
Second Line :
City : SOLOMONS
State : MD
Zip : 20688-3004
Country : US
Telephone Number : 410-394-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2014
Last Update Date : 10/28/2019

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Directions to “ CHARLEE UMSTEAD SLP” Practice Location

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