Cheryl Logiudice, MS,CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Capitol Heights, MD
NPI 1114498573 · NPPES record last updated Dec 11, 2018
Key facts
- NPI
- 1114498573
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 05943 (MD)
- Practice address
- 8801 Ritchie Dr
Capitol Heights, MD 20743-4900 - Phone
- (301) 808-8100
- NPI assigned
- Dec 11, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 05943 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | 05943 | MD | Yes |
Addresses
Primary practice location
8801 Ritchie Dr
Capitol Heights, MD 20743-4900
Mailing address
8801 Ritchie Dr
Capitol Heights, MD 20743-4900
Phone (301) 808-8100
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All providers in Capitol Heights, MD · Speech-Language Pathologist in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.