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NPI Code Detail

MEDICARE: MS. STACEY R CONFORT M.S. CCC-SLP

MEDICARE: MS. STACEY R CONFORT M.S. 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 Pathologist06649MD

General Provider Information

NPI Number : 1730467101
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. STACEY R CONFORT M.S. CCC-SLP
Provider Business Mailing Address
First Line : 15245 SHADY GROVE RD STE 110
Second Line :
City : ROCKVILLE
State : MD
Zip : 20850-7202
Country : US
Telephone Number : 301-654-1666
Fax Number : 301-654-7175
Provider Business Practice Location Address
First Line : 5530 WISCONSIN AVE STE 1528
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-4300
Country : US
Telephone Number : 301-654-1666
Fax Number : 301-654-7175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/02/2011
Last Update Date : 08/02/2011

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Directions to “ MS. STACEY R CONFORT M.S. CCC-SLP” Practice Location

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