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NPI Code Detail

MEDICARE: MS. MARY L SLATER MA, CCC-SLP

MEDICARE:  MS. MARY L SLATER  MA, CCC-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 Pathologist05387MD

General Provider Information

NPI Number : 1700053279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY L SLATER MA, CCC-SLP
Provider Business Mailing Address
First Line : 2307 HOMESTEAD DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-4176
Country : US
Telephone Number : 301-642-4993
Fax Number :
Provider Business Practice Location Address
First Line : 2307 HOMESTEAD DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20902-4176
Country : US
Telephone Number : 301-642-4993
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2008
Last Update Date : 07/01/2020

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Directions to “ MS. MARY L SLATER MA, CCC-SLP” Practice Location

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