IndividualActive
Gammon Gresham, SLPA
NPI 1144049479 · Speech-Language Assistant · Waldorf, MD
Provider details
- NPI number
- 1144049479
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Credential
- SLPA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00918A (MD)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
2300 Smallwood Dr W
Waldorf, MD 20603-4447
Phone: (301) 753-1769
Approximate (ZIP-level) locationGet directions
Mailing address
1119 State Route 3 N Ste 201
Gambrills, MD 21054-1788
Registry dates
- Enumerated
- 2024-10-03
- Last updated
- 2024-10-03
- Certified
- 2024-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.