Mindi Stavish MS, CCC-SLP

NPI 1679726194 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1679726194
Gender Female
Enumeration Date 10/28/2008
Last Updated 05/22/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
10458 SUGARBERRY ST
WALDORF MD, 20603-5732, US
Phone (703) 678-6556
Fax
Business Location
10458 SUGARBERRY ST
WALDORF MD, 20603-5732, US
Phone (301) 638-0656
Fax
Toxanomy
Taxonomy Code 235Z00000X
License State Virginia
License Number 2202005015
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According to our database, Mindi Stavish MS, CCC-SLP NPI is 1679726194, taxonomy code is 235Z00000X and license number is 2202005015, license state is located at Virginia. Mindi Stavish MS, CCC-SLP physically located at 10458 Sugarberry St, Waldorf MD, 20603-5732. NPI Number Mindi Stavish MS, CCC-SLP has the Individual type.

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1679726194 NPI number is provided on an as is basis without warranty of any kind. 1679726194 is maintained by the National Plan & Provider Enumeration System. The contents of Mindi Stavish MS, CCC-SLP are for informational purposes only.