Active NPI
Gwendolyn Seltzer
- Speech-Language Pathologist
- Leonardtown, MD
National Provider Identifier
1477833671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 04192
- Practice address
- 25480 Point Lookout Rd FL 2
Leonardtown, MD 20650-3801 - Phone
- (301) 769-6456
- Fax
- (301) 302-0129
- NPI assigned
- Aug 19, 2011
- Last updated
- May 28, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 04192 | MD | Primary |
Addresses
Primary practice location
25480 Point Lookout Rd FL 2
Leonardtown, MD 20650-3801
Mailing address
25480 Point Lookout Rd FL 2
Leonardtown, MD 20650-3801
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04192 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1477833671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD FL 2",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25480 POINT LOOKOUT RD FL 2",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206503801",
"telephone_number": "301-769-6456",
"fax_number": "301-302-0129"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELTZER",
"first_name": "GWENDOLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-19",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "04192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Leonardtown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.