Elizabeth Pettway, MS-CCC-SLP is a
Speech-language Pathologist based in Brooklyn Park, Maryland. Elizabeth Pettway is licensed to practice in Maryland (license number 04800) and her current practice location is
613 Hammonds Ln, Brooklyn Park, Maryland. She can be reached at her office (for appointments etc.) via phone at
(410) 350-8514.
NPI number for Elizabeth Pettway is 1336260553 and her current mailing address is 2499 Revere Ct, Crofton, Maryland. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336260553.
Healthcare Provider's Profile
Full Name | Elizabeth Pettway |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 613 Hammonds Ln, Brooklyn Park, Maryland |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336260553
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Elizabeth Pettway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336260553 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 04800 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Elizabeth Pettway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Elizabeth Pettway, MS-CCC-SLP 2499 Revere Ct, Crofton, MD 21114-3251 Ph: () - | Elizabeth Pettway, MS-CCC-SLP 613 Hammonds Ln, Brooklyn Park, MD 21225-3351 Ph: (410) 350-8514 |
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