Doctor Name: | MS. STACEY R CONFORT |
NPI Number: | 1730467101 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | 06649 |
Business Practice Address: | 5530 Wisconsin Ave Ste 1528 Chevy Chase, MD - 208154300 |
Business Phone Number: | 3016541666 |
Business Fax Number: | 3016547175 |
Mailing Address: | 15245 Shady Grove Rd Ste 110, ROCKVILLE |
State: | MD |
Postal Code: | 208507202 |
Phone Number: | 3016541666 |
Fax Number: | 3016547175 |
NPI Enumeration Date: | 08/02/2011 |
NPI Last Update Date: | 08/02/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 06649 |
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 |