NPI 1144049479

Gammon Edward Gresham, SLPA

Practitioner Speech-Language Assistant Waldorf, MD

Practice location

Address: 2300 Smallwood Dr W, Waldorf, MD 20603-4447
Phone: (301) 753-1769
Mailing address: 1119 State Route 3 N STE 201, Gambrills, MD 21054-1788

Registered specialties

Speech-Language Assistant Primary

Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence 00918A (MD)

Other Specialist/Technologist providers in Maryland →

Registry record

NPI: 1144049479
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Oct 2024
Record last updated: 3 Oct 2024

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.