PEDIATRIC SPEECH LAB NPI 1720524598

NPI Information

  • NPI: 1720524598
  • Provider Name: PEDIATRIC SPEECH LAB
  • Classification: Speech-Language Pathologist - 235Z00000X
  • Entity Type: Organization
  • Address: 11350 PEMBROOKE SQ STE 313
    WALDORF, MD
    ZIP 20603
  • Phone: (301) 885-0033

Map and Directions

Get Directions

NPI Details

PEDIATRIC SPEECH LAB is a speech language pathologist in Waldorf, 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. PEDIATRIC SPEECH LAB NPI is 1720524598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11350 PEMBROOKE SQ STE 313
WALDORF, MD
ZIP 20603-809
Phone: (301) 885-0033

The provider's authorized official is Quintina Maria Briscoe .
The authorized official title is Speech-language Pathologist/ Owner and has the following contact phone number (301) 885-0033.

The enumeration date for this NPI number is 1/17/2017 and was last updated on 9/1/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103K00000XBehavior AnalystNo
2106E00000XAssistant Behavior AnalystNo
3235Z00000XSpeech-Language Pathologist08341MARYLANDNo
4251S00000XCommunity/Behavioral HealthNo
5261QM1300XClinic/CenterMulti-SpecialtyNo
6235Z00000XSpeech-Language PathologistSLP000879DISTRICT OF COLUMBIAYes

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: 3/30/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI