Doctor Name: | MRS. JENNIFER SIMON TRIANDAFILOU |
NPI Number: | 1821332149 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, CCC-SLP |
License Number: | 3558 |
Business Practice Address: | 9107 Gaither Rd Gaithersburg, MD - 208771455 |
Business Phone Number: | 2404758786 |
Business Fax Number: | |
Mailing Address: | 9107 Gaither Rd, GAITHERSBURG |
State: | MD |
Postal Code: | 208771455 |
Phone Number: | 2404758786 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2012 |
NPI Last Update Date: | 11/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 3558 |
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 |