Ms Desiree Altagracia Hernandez, SLP | |
5625 Allentown Rd Ste 200, Suitland, MD 20746-4521 | |
(301) 520-9376 | |
Not Available |
Full Name | Ms Desiree Altagracia Hernandez |
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Gender | Female |
Speciality | Speech-language Pathologist |
Location | 5625 Allentown Rd Ste 200, Suitland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427773969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 10767 (Maryland) | Primary |
Provider Name | Therapy Associates, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1356759708 PECOS PAC ID: 9931529864 Enrollment ID: O20201015000511 |
Mailing Address | Practice Location Address |
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Ms Desiree Altagracia Hernandez, SLP 5625 Allentown Road, Suite 200, Suitland, MD 20746-4521 Ph: (301) 520-9376 | Ms Desiree Altagracia Hernandez, SLP 5625 Allentown Rd Ste 200, Suitland, MD 20746-4521 Ph: (301) 520-9376 |
Tamika Reynold Leray, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4639 Towne Park Rd, Suitland, MD 20746 Phone: 202-594-9321 | |
Britney Cherotich, MS Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5625 Allentown Rd Ste 200, Suitland, MD 20746 Phone: 301-241-0285 Fax: 866-588-4662 | |
Rolanda Petit Bois, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 5625 Allentown Rd Ste 200, Suitland, MD 20746 Phone: 301-241-0285 |