NPIMap

Organization Active NPI

Special Education Resources, LLC

  • Speech-Language Pathologist
  • Bowie, MD
National Provider Identifier
1013219781
Registry record updated Jun 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
01507 Issued in MD
Legal business name
SPECIAL EDUCATION RESOURCES, LLC
Practice address
6915 Laurel Bowie Rd
Suite 205-F
Bowie, MD 20715-1703
Phone
(240) 245-4370
Fax
(240) 245-4472
NPI assigned
Dec 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenda J. Travis, M.S., CCC-SLPNPI 1962705129
Title
President/Ceo
Phone
(301) 367-1651

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 01507 MD Primary

Addresses

Primary practice location

6915 Laurel Bowie Rd
Suite 205-F
Bowie, MD 20715-1703

Mailing address

6915 Laurel Bowie Rd
Suite 205-F
Bowie, MD 20715-1703
Phone (240) 245-4370

National Provider Directory

National Provider Directory

Locations

6915 Laurel Bowie Rd
Ste 205F
Bowie, MD 20715
Phone (240) 245-4370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308960000000",
    "number": "1013219781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD",
            "address_2": "SUITE 205-F",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151703",
            "telephone_number": "240-245-4370",
            "fax_number": "240-245-4472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 LAUREL BOWIE RD",
            "address_2": "SUITE 205-F",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207151703",
            "telephone_number": "240-245-4370",
            "fax_number": "240-245-4472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL EDUCATION RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2011-06-25",
        "status": "A",
        "authorized_official_last_name": "TRAVIS",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "301-367-1651",
        "authorized_official_credential": "M.S., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "01507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.