Pediatric Speech Lab

LBN: Pediatric Speech Lab
Pediatric Speech Lab is an health care organization with primary practice located at 11350 Pembrooke Sq Ste 313 , Waldorf MD 20603-4809. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Multi-Specialty. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is the primary health care specialty. Pediatric Speech Lab can be contacted via phone (301) 885-0033, or through Briscoe, Quintina Maria via phone (301) 885-0033.

Contact Information

Primary practice address
11350 Pembrooke Sq Ste 313 Waldorf MD 20603-4809
Phone: (301) 885-0033
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Briscoe, Quintina Maria M.S. CCC-SLP
Phone: (301) 885-0033

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP000879 District of Columbia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 08341 Maryland
Agencies / Community/Behavioral Health 251S00000X
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1720524598
LBN Legal business name Pediatric Speech Lab
DBA Doing business as
Authorized official Briscoe, Quintina Maria M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2017
Last updated Sep 1st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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