AMIRA GABRIELLE CROCKETT


Address: 7600 Arlington Rd, Bethesda, MD 20814-6200
Phone: 2402045300

AMIRA GABRIELLE CROCKETT (NPI# 1477015535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477015535
Entity Type Individual
Full Name AMIRA GABRIELLE CROCKETT
Practice Address 7600 Arlington Rd
Bethesda
MD 20814-6200
Mailing Address 1464 S Greenmount Dr Apt 309
Alexandria
VA 22311-2328
Practice Telephone 2402045300
Mailing Telephone 3012662386
Enumeration Date 2019-04-05
Last Update Date 2019-04-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 235Z00000X Speech-Language Pathologist 08200 MD Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD 08200 05

Office Location

Street Address 7600 ARLINGTON RD
City BETHESDA
State MD
Zip Code 20814-6200

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NPI Name Taxonomy Address Enumeration
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1972144939 Uzma Knouss Marriage & Family Therapist 4905 Del Ray Ave, Suite 508, Bethesda, MD 20814 2019-10-01
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Taxonomy Information

Taxonomy Code 235Z00000X
Grouping Speech, Language and Hearing Service Providers
Classification Speech-Language Pathologist

Taxonomy Definition

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.
Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174137053 Sara Reyes Kalyan Speech-Language Pathologist 5511 Massachusetts Ave, Bethesda, MD 20816-1932 2020-09-08
1942810536 Mary Ellen Carr Speech-Language Pathologist 7819 Marion Ln, Bethesda, MD 20814-1337 2020-08-07
1962057620 Catherine Jeffries Speech-Language Pathologist 7921 Lynnbrook Drive, Bethesda, MD 20814 2019-08-08
1740844893 Robin Levenson Speech-Language Pathologist 9300 Wadsworth Dr, Bethesda, MD 20817-2414 2019-04-24
1932661527 Felice Raskind Grossman Speech-Language Pathologist 7900 Beech Tree Rd, Bethesda, MD 20817-2927 2019-04-02
1689135477 Sharon Zatorski Speech-Language Pathologist 5800 Cromwell Dr, Bethesda, MD 20816-3403 2019-03-26
1720547128 Muriel Sue Braunstein Speech-Language Pathologist 7100 Whittier Blvd, Bethesda, MD 20817-6170 2019-03-15
1447744347 Kelly Theresa Johnson Speech-Language Pathologist 5272 River Rd Ste 100, Bethesda, MD 20816-1454 2018-06-14
1831632777 Jennifer Gaum Speech-Language Pathologist 8625 Hempstead Ave, Bethesda, MD 20817-6711 2016-11-27
1063834927 Alisa Bernstein Speech-Language Pathologist 4865 Cordell Ave, 210, Bethesda, MD 20814-3042 2014-01-13
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Competitor

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City BETHESDA
Zip Code 20814

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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