Brandall Bond, MA, CF-SLP

Individual provider Active NPI Speech-Language Pathologist · Seat Pleasant, MD

NPI 1972146504 · NPPES record last updated Oct 27, 2019

Key facts

NPI
1972146504
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
01998L (MD)
Practice address
6411 G St
Seat Pleasant, MD 20743-1714
Phone
(301) 925-2330
NPI assigned
Oct 27, 2019
Sex
Male
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
01998LMDMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 01998L MD Yes

Addresses

Primary practice location

6411 G St
Seat Pleasant, MD 20743-1714

Mailing address

4451 Telfair Blvd Apt 3110
Camp Springs, MD 20746-5256
Phone (314) 201-3011

Other providers in Seat Pleasant, MD

All providers in Seat Pleasant, MD · Speech-Language Pathologist in Maryland

Sources for this page

Verify at the official NPI Registry.