Julianne Mary Schrom, MA, CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · Shady Side, MD

NPI 1134446248 · NPPES record last updated Mar 10, 2024

Key facts

NPI
1134446248
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
03864 (MD)
Practice address
1507 Terrell Rd
Shady Side, MD 20764
Phone
(202) 689-9920
NPI assigned
Apr 28, 2010
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 Arts

State licenses

LicenseStateTypeSpecialty
03864MDMDClinical Child & Adolescent Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 03864 MD Yes

Addresses

Primary practice location

1507 Terrell Rd
Shady Side, MD 20764

Mailing address

1507 Terrell Rd
Shady Side, MD 20764-9312
Phone (202) 689-9920

Other providers in Shady Side, MD

All providers in Shady Side, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.