Jordan Schmidt

Individual provider Active NPI Speech-Language Pathologist · Marriottsville, MD

NPI 1306413331 · NPPES record last updated Jun 8, 2021

Key facts

NPI
1306413331
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
02275L (MD)
Practice address
2500 Wallington Way Ste 103
Marriottsville, MD 21104-1506
Phone
(410) 442-9791
NPI assigned
Jun 8, 2021
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
02275LMDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 02275L MD Yes

Addresses

Primary practice location

2500 Wallington Way Ste 103
Marriottsville, MD 21104-1506

Mailing address

7 E Greenwood Ave
Haddon Township, NJ 08107-1205

Other providers in Marriottsville, MD

All providers in Marriottsville, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.