Doctor Name: | MR. MICHAEL ANTHONY DRAUGHON |
NPI Number: | 1043505407 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.A. CCC-SLP |
License Number: | 04022 |
Business Practice Address: | 1721 Pennsylvania Ave Baltimore, MD - 212173119 |
Business Phone Number: | 4107280853 |
Business Fax Number: | |
Mailing Address: | 11544 Lockwood Dr Apt A1, SILVER SPRING |
State: | MD |
Postal Code: | 209042426 |
Phone Number: | 2403533455 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2011 |
NPI Last Update Date: | 06/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 04022 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |