Doctor Name: | MR. JOHN CALVIN ALBERTY |
NPI Number: | 1518128818 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MS CCC SLP |
License Number: | 05732 |
Business Practice Address: | 9912 Glenkirk Way Mitchellville, MD - 207212990 |
Business Phone Number: | 3013257560 |
Business Fax Number: | 3015768550 |
Mailing Address: | 9912 Glenkirk Way, MITCHELLVILLE |
State: | MD |
Postal Code: | 207212990 |
Phone Number: | 3013257560 |
Fax Number: | 3015768550 |
NPI Enumeration Date: | 06/19/2008 |
NPI Last Update Date: | 06/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 05732 |
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 |