Metellus, Shawnda
Metellus, Shawnda is an sole proprietor health care provider with primary practice located at 4200 Forbes Blvd Ste 112 , Lanham MD 20706-4342. 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. Metellus, Shawnda can be contacted via phone (301) 661-4729.Contact Information
Primary practice address
4200 Forbes Blvd Ste 112
Lanham MD 20706-4342
Phone: (301) 661-4729
Fax: (480) 287-8119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 04927 | Maryland |
Profile Details
| NPI number | 1245359934 |
|---|---|
| LBN Legal business name | Metellus, Shawnda |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2007 |
| Last updated | Jul 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245359934 | NPPES |
| Maryland | MEDICAID | 012762100 |
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