PEDIATRIC SPEECH LAB
NPI 1720524598
Speech-Language Pathologist in Waldorf, MD

Active since January 17, 2017
11350 PEMBROOKE SQ STE 313, WALDORF, MD 20603(301) 885-0033 Get Directions Write a Review

NPPES record last updated: September 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 1, 2022, Feb 23, 2021, Jan 17, 2017 (3 updates tracked since 2017).

About Pediatric Speech Lab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRIC SPEECH LAB (NPI 1720524598) is a healthcare organization registered as a speech-language pathologist in Waldorf, Maryland and active in the NPI registry since January 2017. The organization lists Quintina Maria Briscoe, Speech-language Pathologist/ Owner, as its authorized official.

NPPES Registry Identity

NPI1720524598
Entity TypeOrganization
Primary Taxonomy235Z00000X
Legal Business NamePEDIATRIC SPEECH LAB
Location Address11350 PEMBROOKE SQ STE 313Waldorf, MD 20603-4809
Mailing Address11350 Pembrooke Sq Ste 313Waldorf, MD 20603-4809 · (301) 885-0033
Organization SubpartNo
Authorized OfficialQuintina Maria BriscoeSpeech-language Pathologist/ Owner · (301) 885-0033
Enumeration DateJanuary 17, 2017
Last NPPES UpdateSeptember 1, 20223 updates tracked since enumeration
NPPES CertifiedAugust 19, 2022
NPI 1720524598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
Licenses Licensed in DC · SLP000879 Licensed in MD · 08341
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedBehavior AnalystTaxonomy 103K00000X
Also ListedAssistant Behavior AnalystTaxonomy 106E00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
11350 PEMBROOKE SQ STE 313, Waldorf, MD 20603

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

In Home Supportive Care
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Behavior Analyst
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Speech-Language Pathologist
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Specialist/Technologist (Speech-Language Assistant)
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Behavior Technician
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Behavior Technician
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Clinic/Center (Health Service)
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603
Speech-Language Pathologist
11350 PEMBROOKE SQ STE 313
WALDORF, MD 20603

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatric Speech Lab's NPI number?

The NPI number for Pediatric Speech Lab is 1720524598. It was assigned to this organization in the NPPES registry on January 17, 2017.

Where is Pediatric Speech Lab located?

Pediatric Speech Lab is located at 11350 Pembrooke Sq Ste 313, Waldorf, MD 20603. The listed phone number is (301) 885-0033.

What is Pediatric Speech Lab's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Pediatric Speech Lab was last updated on September 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.