Provider Demographics
NPI:1710387923
Name:BELL, CORIE-MAE (SLP-D, CCC-SLP)
Entity type:Individual
Prefix:
First Name:CORIE-MAE
Middle Name:
Last Name:BELL
Suffix:
Gender:F
Credentials:SLP-D, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5975 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DEALE
Mailing Address - State:MD
Mailing Address - Zip Code:20751-9606
Mailing Address - Country:US
Mailing Address - Phone:301-639-2971
Mailing Address - Fax:
Practice Address - Street 1:2600 VIRGINIA AVE NW STE 900
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1930
Practice Address - Country:US
Practice Address - Phone:301-639-2971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07591235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist