NPIMap

Organization Active NPI

Speech-Language Swallowing Specialist, LLC

  • Speech-Language Pathologist
  • Upper Marlboro, MD
National Provider Identifier
1689238768
Registry record updated Apr 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SPEECH-LANGUAGE SWALLOWING SPECIALIST, LLC
Practice address
5209 Chestnut Manor CT
Upper Marlboro, MD 20772-3175
Phone
(301) 780-8547
NPI assigned
Apr 24, 2019
Last updated
Apr 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rachelle Crawford-Brown, SLP
Title
Owner/Therapist
Phone
(301) 780-8547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

5209 Chestnut Manor CT
Upper Marlboro, MD 20772-3175

Mailing address

5209 Chestnut Manor CT
Upper Marlboro, MD 20772-3175
Phone (301) 780-8547

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1689238768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5209 CHESTNUT MANOR CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723175",
            "telephone_number": "301-780-8547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5209 CHESTNUT MANOR CT",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207723175",
            "telephone_number": "301-780-8547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEECH-LANGUAGE SWALLOWING SPECIALIST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "CRAWFORD-BROWN",
        "authorized_official_first_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "301-780-8547",
        "authorized_official_credential": "SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.