Pediatric Speech Lab
NPI 1720524598ActiveOrganization· Speech-Language Pathologist· Waldorf, MD
Speech-Language Pathologist in Waldorf, Maryland, registered in NPPES in January 2017. The authorized official on file is Quintina Maria Briscoe, M.S. CCC-SLP, Speech-Language Pathologist/ Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1720524598 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 17, 2017 |
| Last updated in NPPES | Sep 1, 2022 |
| Certified by provider | Aug 19, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Speech-Language Pathologist Primary | 235Z00000X | SLP000879 | DC |
| Behavior Analyst | 103K00000X | — | — |
| Assistant Behavior Analyst | 106E00000X | — | — |
| Speech-Language Pathologist | 235Z00000X | 08341 | MD |
| Community/Behavioral Health | 251S00000X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MD) |
|---|
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