Matthew Edward Pisarski, SLP
Individual provider Active NPI Speech-Language Pathologist · Solomons, MD
NPI 1235747007 · NPPES record last updated Jul 17, 2020
Key facts
- NPI
- 1235747007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 09428 (MD)
- Practice address
- 11100 Asbury Cir
Solomons, MD 20688-3004 - Phone
- (410) 394-3000
- NPI assigned
- Jul 17, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09428 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 09428 | MD | Yes |
Addresses
Primary practice location
11100 Asbury Cir
Solomons, MD 20688-3004
Mailing address
2112 Pine Tree LN
Rocky Mount, NC 27804-6555
Phone (515) 201-0075
Other practice location 1
2112 Pine Tree Ln
Rocky Mount, NC 27804-6555
Phone (515) 201-0075
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Laptop |
Other providers in Solomons, MD
- Open Minded Health Care, LLC
- Maria Novella C Papino Higgs
- Barbara Patterson
- Ashley Nicole Peterson
- Cathleen Marie Pirner
- Qol, LLC
- Joseph Reeves
- Laura Reid
- Douglas La Roi Risk
- Louis B. Sachs
All providers in Solomons, 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 Jul 17, 2020. 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.