Provider Demographics
NPI:1194618900
Name:WEICHERT, EMILY (MS, CF-SLP)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:WEICHERT
Suffix:
Gender:F
Credentials:MS, CF-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 FAIRMOUNT RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2814
Mailing Address - Country:US
Mailing Address - Phone:443-630-0746
Mailing Address - Fax:
Practice Address - Street 1:8975 GUILFORD RD STE 190
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2386
Practice Address - Country:US
Practice Address - Phone:202-670-2368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-30
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD03072L235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist