Nancy Thorner, M.A., CCC
Individual provider Active NPI Speech-Language Pathologist · Damascus, MD
NPI 1821116153 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821116153
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 04109 (MD)
- Practice address
- 24322 Red Blaze Dr
Damascus, MD 20872-2261 - Phone
- (301) 368-9193
- Fax
- (301) 368-9194
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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
| License | State | Type | Specialty |
|---|---|---|---|
| 04109 | MD | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 04109 | MD | Yes |
Addresses
Primary practice location
24322 Red Blaze Dr
Damascus, MD 20872-2261
Mailing address
24322 Red Blaze Dr
Damascus, MD 20872-2261
Phone (301) 368-9193
Other providers in Damascus, MD
- Strong Tower Home Health Services, LLC
- Rachel Tova Sufczynski
- Kalle Marie Swinford
- Alexa Tanner
- Berhane Hafiso Teroro
- Mark Owens Thornton
- Evan Timberlake
- Ambrose Jing-Hay To
- Elizabeth Tsakiris
- Kelly Ann Valceanu
All providers in Damascus, 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 Jul 8, 2007. 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.