MEDICARE: ALYCIA AJAYI

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	235Z00000X	Speech-Language Pathologist	11087	MD

General Provider Information

NPI Number	:	1740136571
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALYCIA AJAYI

Provider Business Mailing Address
First Line	:	2214 BREEZE CT
Second Line	:
City	:	ODENTON
State	:	MD
Zip	:	21113-2154
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	11350 PEMBROOKE SQ
Second Line	:
City	:	WALDORF
State	:	MD
Zip	:	20603-4809
Country	:	US
Telephone Number	:	301-885-0033
Fax Number	:

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

Provider Enumeration Date	:	03/05/2026
Last Update Date	:	03/05/2026

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Directions to “ ALYCIA AJAYI ” Practice Location

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