Elizabeth Bodley
Individual provider Active NPI Speech-Language Pathologist · Berlin, MD
NPI 1548898992 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1548898992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 02033L (MD)
- Practice address
- 11318 Showell School Rd
Berlin, MD 21811-3250 - Phone
- (410) 632-5350
- NPI assigned
- Mar 31, 2020
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02033L | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 02033L | MD | Yes |
Addresses
Primary practice location
11318 Showell School Rd
Berlin, MD 21811-3250
Mailing address
6270 Worcester Hwy
Newark, MD 21841-2224
Other providers in Berlin, MD
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- Brooke Bochinski
- Erica Joy Bohl
- Michele Bono
- Andrew Alan Bookwalter
- Kayla Marie Booros
- Angela Borrell
All providers in Berlin, 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 Mar 31, 2020. 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.