County Therapy Associates, LLC

Organization Active NPI Speech-Language Pathologist · Whiteford, MD

NPI 1700078151 · NPPES record last updated Apr 22, 2009

Key facts

NPI
1700078151
Entity type
Organization (NPI type 2)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
02270 (MD)
Legal business name
COUNTY THERAPY ASSOCIATES, LLC
Practice address
2082 Whiteford Rd
Whiteford, MD 21160-1404
Phone
(410) 452-8815
Fax
(410) 452-8815
NPI assigned
Aug 9, 2007
Organization subpart
No

Authorized official

Name
Ms. Mary Patricia Matejka NPI 1114118080
Title
Owner/Therapist
Phone
(410) 452-8815

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator
Group: 193200000X MULTI-SPECIALTY GROUP
171M00000X
Occupational Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
224Z00000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X
Physical Therapy Assistant
Group: 193200000X MULTI-SPECIALTY GROUP
225200000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225X00000X
Speech-Language Pathologist
Group: 193200000X MULTI-SPECIALTY GROUP
235Z00000X 02270 MD Yes

Addresses

Primary practice location

2082 Whiteford Rd
Whiteford, MD 21160-1404

Mailing address

PO Box 169
Whiteford, MD 21160-0169
Phone (410) 452-8815

Other identifiers

IdentifierTypeStateIssuer
014269700MedicaidMD

Other providers in Whiteford, MD

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

Sources for this page

Verify at the official NPI Registry.