Jessica Egred, | |
9440 Marlboro Pike, #320, Upper Marlboro, MD 20772 | |
(301) 297-4022 | |
Not Available |
Full Name | Jessica Egred |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 9440 Marlboro Pike, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164995007 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 08967 (Maryland) | Primary |
Provider Name | Dell Childrens Medical Group |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1326072943 PECOS PAC ID: 8224092978 Enrollment ID: O20041112001030 |
Mailing Address | Practice Location Address |
---|---|
Jessica Egred, 526 Lamont St Nw Apt 1, Washington, DC 20010-3253 Ph: (513) 317-9733 | Jessica Egred, 9440 Marlboro Pike, #320, Upper Marlboro, MD 20772 Ph: (301) 297-4022 |
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