IndividualActive
Mirna San Juan
NPI 1588033047 · Speech-Language Assistant · Hyattsville, MD
Provider details
- NPI number
- 1588033047
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 00107A (MD)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Phone: (301) 864-2333
Approximate (ZIP-level) locationGet directions
Mailing address
4922 Lasalle Rd
Hyattsville, MD 20782-3302
Registry dates
- Enumerated
- 2015-09-15
- Last updated
- 2015-09-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.