Pediatric Speech Lab
NPI 1720524598 · Speech-Language Pathologist · Waldorf, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pediatric Speech Lab is a Speech-Language Pathologist organization in Waldorf, MD (NPI 1720524598).
Provider details
- NPI number
- 1720524598
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Quintina Briscoe, Speech-Language Pathologist/ Owner(301) 885-0033
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
Speech, Language and Hearing Service Providers
- Community/Behavioral Health Agency251S00000X
Agencies
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-01-17
- Last updated
- 2022-09-01
- Certified
- 2022-08-19
Frequently asked questions
- What is Pediatric Speech Lab's NPI number?
- Pediatric Speech Lab's National Provider Identifier (NPI) is 1720524598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pediatric Speech Lab?
- Pediatric Speech Lab is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is Pediatric Speech Lab located?
- Pediatric Speech Lab's practice location on file with NPPES is 11350 Pembrooke Sq Ste 313, Waldorf, MD 20603-4809.
- What is Pediatric Speech Lab's phone number?
- The practice phone number listed in the NPPES registry for Pediatric Speech Lab is (301) 885-0033.
- Does Pediatric Speech Lab accept Medicare?
- Pediatric Speech Lab is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pediatric Speech Lab?
- The authorized official listed on Pediatric Speech Lab's NPPES record is Quintina Briscoe, Speech-Language Pathologist/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pediatric Speech Lab's NPI active?
- Yes — Pediatric Speech Lab's NPI (1720524598) is active in the NPPES registry as of the last update on 2022-09-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.