Jenna Truglio

Individual provider Active NPI Speech-Language Pathologist · Seat Pleasant, MD

NPI 1265049159 · NPPES record last updated Sep 25, 2020

Key facts

NPI
1265049159
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
02216L (MD)
Practice address
6411 G St
Seat Pleasant, MD 20743-1714
Phone
(770) 225-3168
NPI assigned
Sep 25, 2020
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

State licenses

LicenseStateTypeSpecialty
02216LMDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02216L MD Yes

Addresses

Primary practice location

6411 G St
Seat Pleasant, MD 20743-1714

Mailing address

1160 1St St NE Apt 206
Washington, DC 20002-4697

Other providers in Seat Pleasant, MD

All providers in Seat Pleasant, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.