Provider Type Icon

DR. GRACE PARK M.A. PH.D. NPI 1114132743


NPI Information

NPI: 1114132743
Provider Name: DR. GRACE PARK, M.A., PH.D.
Classification: Speech-Language Pathologist - 235Z00000X
Entity Type: Individual
Address:
932 HUNGERFORD DR
SUITE 29A
ROCKVILLE, MD
ZIP 20850
Phone: (301) 424-7701
Get Directions

DR. Grace Park, M.A., PH.D. is a speech language pathologist in Rockville, MD. The provider is the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. DR. Grace Park, M.A., PH.D. NPI is 1114132743. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

932 HUNGERFORD DR
SUITE 29A
ROCKVILLE, MD
ZIP 20850-713
Phone: (301) 424-7701
Fax: (301) 424-7703

The enumeration date for this NPI number is 5/14/2007 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1235Z00000XSpeech-Language Pathologist2202004766VIRGINIANo
2235Z00000XSpeech-Language Pathologist04742MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K515-0001OTHERMARYLANDCAREFIRST BCBS GHMSI
2831BSYOTHERMARYLANDCAREFIRST BCBS
3K515-0001OTHERDISTRICT OF COLUMBIACAREFIRST BCBS GHMSI
49350944OTHERMARYLANDCIGNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.