John Nelson Rhoat, MS CCC/SLP

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

NPI 1417196437 · NPPES record last updated Feb 14, 2009

Key facts

NPI
1417196437
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
05725 (MD)
Practice address
510 N Main St
Hebron, MD 21830-1057
Phone
(302) 245-7908
NPI assigned
Feb 14, 2009
Sex
Male
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 Science

State licenses

LicenseStateTypeSpecialty
01-0000785DEMDSpeech-Language Pathologist
05725MDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 05725 MD Yes
Speech-Language Pathologist 235Z00000X 01-0000785 DE

Addresses

Primary practice location

510 N Main St
Hebron, MD 21830-1057

Mailing address

510 N Main St
Hebron, MD 21830-1057
Phone (302) 245-7908

Other providers in Hebron, MD

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

Sources for this page

Verify at the official NPI Registry.