Jennifer Coon, M.A. CCC-SLP

Individual provider Active NPI Speech-Language Pathologist · North Potomac, MD

NPI 1740539626 · NPPES record last updated Mar 6, 2019

Key facts

NPI
1740539626
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
07316 (MD)
Practice address
15001 Dufief Dr
North Potomac, MD 20878-2415
Phone
(012) 279-4980
NPI assigned
Sep 6, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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

LicenseStateTypeSpecialty
07316MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
JT Medical Services, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jennifer.coon.p3@direct.mcg-hhs.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 07316 MD Yes

Addresses

Primary practice location

15001 Dufief Dr
North Potomac, MD 20878-2415

Mailing address

850 Hungerford Dr
Rockville, MD 20850-1718
Phone (301) 279-4980

Other providers in North Potomac, MD

All providers in North Potomac, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.