NPI 1396168522

Minds in Motion Children's Center, LLC

Organisation Early Intervention Provider Agency Gaithersburg, MD

Practice location

Address: 8041 Cessna Ave STE 232, Gaithersburg, MD 20879-4169
Phone: (301) 977-9393
Fax: (301) 977-9394

Authorised official

Name: Latisha Jannell Gasaway
Title: Co-Owner
Phone: (301) 977-9393

Registered specialties (2)

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 158434 (MD)

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Speech-Language Pathologist

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X

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Registry record

NPI: 1396168522
Entity type: Organization
NPI issued: 23 Jan 2014
Record last updated: 23 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.