Michael Jon Bamdad, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Washington, DC
NPI 1447586706 · NPPES record last updated Oct 21, 2009
Key facts
- NPI
- 1447586706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP000014 (DC)
- Practice address
- 2115 G St NW RM 205
Washington, DC 20052-0073 - Phone
- (202) 994-7357
- NPI assigned
- Oct 21, 2009
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP000014 | DC | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000014 | DC | Yes |
Addresses
Primary practice location
2115 G St NW RM 205
Washington, DC 20052-0073
Mailing address
2115 G St NW RM 205
Washington, DC 20052-0073
Phone (202) 994-7357
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 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.