MEDICARE: DISTRICT SPEECH AND LANGUAGE THERAPY LLC

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	261Q00000X	Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	DK79-0000	OTHER		CAREFIRST BLUECROSS BLUESHIELD

General Provider Information

NPI Number	:	1902390479
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTRICT SPEECH AND LANGUAGE THERAPY LLC

Provider Business Mailing Address
First Line	:	1331 H ST NW STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4706
Country	:	US
Telephone Number	:	202-417-6576
Fax Number	:

Provider Business Practice Location Address
First Line	:	1331 H ST NW STE 200
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20005-4706
Country	:	US
Telephone Number	:	202-417-6576
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JENNIFER BRANCHINI
Credential	:
Telephone Number	:	305-338-6852

Provider Enumeration Date	:	06/19/2018
Last Update Date	:	05/12/2020

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Directions to “DISTRICT SPEECH AND LANGUAGE THERAPY LLC ” Practice Location

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