LONI BERBAUM (NPI# 1811404296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811404296 |
| Entity Type | Individual |
| Full Name | LONI BERBAUM |
| Credential | M.S., CCC-SLP |
| Practice Address |
4817 Elmley Pl Apt 315 Waldorf MD 20602 |
| Mailing Address |
5066 Fiery Sky Ridge St Las Vegas NV 89148-1843 |
| Practice Telephone | 2176214124 |
| Enumeration Date | 2018-01-06 |
| Last Update Date | 2018-07-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | SP-2290 | NV | Speech, Language and Hearing Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 08504 | MD | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4817 Elmley Pl Apt 315, Waldorf, MD 206024212 | 2176214124 |
| Street Address |
4817 ELMLEY PL APT 315 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720524598 | Pediatric Speech Lab | Speech-Language Pathologist | 2547 Enterprise Pl, Waldorf, MD 20601-4953 | 2017-01-17 |
| 1982016168 | Christine Micknick | Speech-Language Pathologist | 14707 Gardner Rd, Waldorf, MD 20601-3812 | 2014-05-22 |
| 1649603424 | Lauren Ashley White | Speech-Language Pathologist | 10810 Winchester Street Apt127, Waldorf, MD 20603 | 2013-08-15 |
| 1427377548 | Southern Maryland Speech and Language Services | Speech-Language Pathologist | 3270 Elsa Ave, Waldorf, MD 20603-4048 | 2010-05-28 |
| 1952544801 | Tanya Lynnette Fulton | Speech-Language Pathologist | 8213 Seven Pines Ln, Waldorf, MD 20603-4062 | 2009-04-08 |
| 1215101399 | Child & Adult Rehab Serv Inc | Speech-Language Pathologist | 85 High Street, Suite 7, Waldorf, MD 20602-2150 | 2008-04-18 |
| 1073738944 | Karen Zimmerman | Speech-Language Pathologist | 10851 Constitution Dr, Waldorf, MD 20603-3949 | 2007-04-16 |
| 1558960831 | Kourtney Wathen | Speech-Language Pathologist | 3 Post Office Rd, Waldorf, MD 20602-2756 | 2020-10-19 |
| 1851829014 | Premium Communication Services, Inc. | Speech-Language Pathologist | 3261 Old Washington Rd Ste 2020, Waldorf, MD 20602-3231 | 2017-05-31 |
| 1831626308 | Erin Burris Gaumer | Speech-Language Pathologist | 4140 Old Washington Rd, Waldorf, MD 20602-3221 | 2017-05-16 |
| Find all providers in WALDORF | ||||
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| 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.