Park, Grace

Park, Grace is an individual health care provider with primary practice located at 932 Hungerford Dr Suite 29A, Rockville MD 20850-1713. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Park, Grace can be contacted via phone (301) 424-7701.

Contact Information

Primary practice address
932 Hungerford Dr Suite 29A Rockville MD 20850-1713
Phone: (301) 424-7701
Fax: (301) 424-7703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 04742 Maryland
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202004766 Virginia

Profile Details

NPI number 1114132743
LBN Legal business name Park, Grace
Credentials M.A., PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114132743 NPPES
Maryland Other K515-0001 CAREFIRST BCBS GHMSI
Maryland Other K515-0001 CAREFIRST BCBS GHMSI
Maryland Other 831BSY CAREFIRST BCBS GHMSI
Maryland Other 9350944 CAREFIRST BCBS GHMSI

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