IndividualActive
Connor Dietz, B.S. SLPA
NPI 1700350857 · Speech-Language Assistant · La Plata, MD
Provider details
- NPI number
- 1700350857
- Entity type
- Individual
- Primary specialty
- Speech-Language AssistantSpeech, Language and Hearing Service Providers
- Credential
- B.S. SLPA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 00156A (MD)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
5980 Radio Station Rd
La Plata, MD 20646-3337
Phone: (410) 212-0974
Approximate (ZIP-level) locationGet directions
Mailing address
902 Saint Claire Ct
Annapolis, MD 21409-5679
Registry dates
- Enumerated
- 2019-01-11
- Last updated
- 2019-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.