GAMMON EDWARD GRESHAM SLPA
NPI 1144049479
Specialist/Technologist - Speech-Language Assistant in Waldorf, MD
- Individual
- Male
- Specialist/Technologist
- Speech-Language Assistant
About GAMMON GRESHAM
This page provides the complete NPI Profile along with additional information for Gammon Gresham, a provider established in Waldorf, Maryland with a medical specialization in Specialist/technologist, focusing in speech-language assistant . The healthcare provider is registered in the NPI registry with number 1144049479 assigned on October 2024. The practitioner's primary taxonomy code is 2355S0801X with license number 00918A (MD). The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1144049479 Verify this NPI
- Provider Name
- GAMMON EDWARD GRESHAM SLPA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 2300 SMALLWOOD DR W WALDORF, MD 20603
- Location Phone
- (301) 753-1769
- Mailing Address
- 1119 STATE ROUTE 3 N STE 201 GAMBRILLS, MD 21054
- Mailing Phone
- (443) 808-1218
- Mailing Fax
- (443) 308-2111
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-03-2024
- Last Update Date
- 10-03-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist Speech-Language Assistant
- Taxonomy Code
- 2355S0801X
- Type
- Speech, Language and Hearing Service Providers
- License No.
- 00918A
- License State
- MD
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144049479, enumerated as an "individual" on October 03, 2024.
The provider is located at 2300 SMALLWOOD DR W WALDORF, MD 20603 and the phone number is (301) 753-1769.
Specialist/Technologist with taxonomy code 2355S0801X and a focus in Speech-Language Assistant.
