Booth, Tiara

Booth, Tiara is an individual health care provider with primary practice located at 2900 Campus Way N , Lanham MD 20706-2892. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Booth, Tiara can be contacted via phone (301) 276-9153.

Contact Information

Primary practice address
2900 Campus Way N Lanham MD 20706-2892
Phone: (301) 276-9153
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 01818L Maryland
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202010198 Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 09346 Maryland

Profile Details

NPI number 1497395693
LBN Legal business name Booth, Tiara
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2020
Last updated Oct 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497395693 NPPES
Virginia Other 2202010198 STATE DEPARTMENT OF HEALTH
Virginia Other 01818L STATE DEPARTMENT OF HEALTH
Virginia Other 09346 STATE DEPARTMENT OF HEALTH

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