Judith Ann Edghill, MS CCC-SLP/A
Individual provider Active NPI Speech-Language Pathologist · Forestville, MD
NPI 1275861981 · NPPES record last updated Nov 19, 2009
Key facts
- NPI
- 1275861981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 03313 (MD)
- Practice address
- 7420 Marlboro Pike
Forestville, MD 20747-4343 - Phone
- (301) 736-0240
- NPI assigned
- Nov 19, 2009
- Sex
- Female
- 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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03313 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 03313 | MD | Yes |
Addresses
Primary practice location
7420 Marlboro Pike
Forestville, MD 20747-4343
Mailing address
12405 Newcastle Farm Way
Upper Marlboro, MD 20772-3162
Phone (202) 413-1769
Other providers in Forestville, MD
- DXT Therapeutic Services
- DXT Therapeutic Services
- DXT Therapeutic Services
- DXT Therapeutic Services
- DXT Therapeutic Services
- Lisa S Eley
- Essential Chiropractic
- Jonniel Marquez Estrella
- Eric Evans
- Olufunso K Fakunle
All providers in Forestville, 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 Nov 19, 2009. 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.