Grace Park in Rockville - Speech-language Pathologist

Grace Park - NPI 1114132743

Grace Park is a Speech-language Pathologist in Rockville, Maryland. Grace Park practices all healthcare services and medical treatments related to Speech-language Pathologist. The NPI Number for Grace Park is 1114132743. The last update date is 2007-07-08.

Grace Park's current location address is 932 Hungerford Dr, Rockville, Maryland. You can contact this provider via phone number 3014247701 and fax number 3014247703. The mailing address for Grace Park is 932 Hungerford Dr, Rockville, Maryland. To know further, please read the information below!

Provider Profile Detail

Provider Name Grace Park
Address 932 Hungerford Dr, Rockville, Maryland
Phone Number 3014247701
Fax Number 3014247703
Sole Proprietor N
Credentials M.A., PH.D

NPI Number Detail

NPI Number 1114132743
Provider Enumeration Date 2007-05-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 932 Hungerford Dr
City Rockville
State Maryland (MD)
Post Code 208501713
Phone Number 3014247701
Fax Number 3014247703

Provider's Primary Taxonomy Detail

Speciality Speech-language Pathologist
Taxonomy 235Z00000X
Licence No 4742
Definition:
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Spe

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
K515-0001 MD CAREFIRST BCBS GHMSI
K515-0001 DC CAREFIRST BCBS GHMSI
831BSY MD CAREFIRST BCBS
9350944 MD CIGNA

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FAQs about Grace Park

What is the unique identifier code issued to Grace Park by the Centers for Medicare & Medicaid Services (CMS)?

The Grace Park has been assigned the NPI (National Provider Identifier) 1114132743. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Grace Park's facilities are situated?

The facilities of Grace Park are physically located at the following address: 932 Hungerford Dr, Rockville, MD, 208501713.

What is Grace Park's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Grace Park is Speech-language Pathologist, and the taxonomy classification code that categorizes this area of expertise is 235Z00000X.

On what date did the Grace Park receive the assignment of its 1114132743 from the Centers for Medicare & Medicaid Services?

The Grace Park was issued its 1114132743 by the Centers for Medicare & Medicaid Services on 2007-05-14.

As of what date were the details related to Grace Park most recently updated or revised?

The information pertaining to Grace Park, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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