| Organization Name: | CARE SPEECH LANGUAGE PATHOLOGY SERVICE, LLC |
| NPI Number: | 1841663168 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIE DIANE COOPER (SPEECH AND LANGUAGE PATHOLOGIST) |
| Mailing Address: | 9308 Midland Turn Upper Marlboro |
| State: | MD US |
| Postal Code: | 207725367 |
| Phone Number: | 2023868745 |
| Fax Number: | 3014235010 |
| NPI Enumeration Date: | 11/09/2015 |
| NPI Last Update Date: | 11/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP000531 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | DC |
| 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 |