CONNOR DANIEL HARMSEN DIETZ


Address: 5980 Radio Station Rd, La Plata, MD 20646-3337
Phone: 4102120974

CONNOR DANIEL HARMSEN DIETZ (NPI# 1700350857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700350857
Entity Type Individual
Full Name CONNOR DANIEL HARMSEN DIETZ
Credential B.S. SLPA
Practice Address 5980 Radio Station Rd
La Plata
MD 20646-3337
Mailing Address 902 Saint Claire Ct
Annapolis
MD 21409-5679
Practice Telephone 4102120974
Enumeration Date 2019-01-11
Last Update Date 2019-01-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2355S0801X Specialist/Technologist
Specialization: Speech-Language Assistant
00156A MD Speech, Language and Hearing Service Providers

Office Location

Street Address 5980 RADIO STATION RD
City LA PLATA
State MD
Zip Code 20646-3337

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841323250 Charles County Board of Education Counselor 5980 Radio Station Rd, La Plata, MD 20646-3337 2007-03-14
1043818602 Virginia Lee Cusick Physical Therapist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-10-15
1619589454 Erica Lynn Smith Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-22
1215549159 Chelsea Leanne Alcala Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-21
1104438043 Elizabeth Margaret Heinmiller Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-21
1679185524 Sabrina Esther Hernandez Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-21
1881206738 Jalen Poindexter Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-21
1740892595 Katherine Anne Weidner Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-21
1417568007 Brianna Caroline Spilsbury Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2020-08-16
1790332716 Kathryn Miller Speech-Language Pathologist 5980 Radio Station Rd, La Plata, MD 20646-3337 2019-08-23
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1932718822 Charles Regional Surgical Center LLC Clinic/Center 5 North Laplata Court, 2nd Floor, Laplata, MD 20646 2020-07-27
1902387988 Sheldon Villarta Physical Therapist 10200 La Plata Town, La Plata, MD 20646 2018-08-27
1912485244 Kelli Hill Goldsborough Nurse Practitioner 5 N La Plata Ct Ste 101, La Plata, MD 20646 2018-07-30
1083128490 Charles County Rescue Squad Inc Ambulance 2 Calvert St, La Plata, MD 20646 2017-11-21
1801261532 Catherine Deshetler Social Worker 5 N Maple Ave Ste 206, La Plata, MD 20646 2015-12-07
1215346481 Brittany Godin Speech-Language Pathologist 5 Garrett Avenue, La Plata, MD 20646 2014-08-12
1558787606 Homeplace Assisted Living Assisted Living Facility 10210 La Plata Rd, La Plata, MD 20646 2014-03-13
1891056628 Godfrey T Hewitt Dentist 6620 Crain Hwy #204, Laplata, MD 20646 2012-06-07
1740573823 Armida Bondoc Gonzales Physical Therapist 15 S Maple Ave, Apt 2, La Plata, MD 20646 2011-05-23
1023315348 Charity E Dugan Surgery Um Charles Regional Medical Group, 5 North La Plata Court Ste 103, La Plata, MP 20646 2011-02-23
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Taxonomy Information

Taxonomy Code 2355S0801X
Grouping Speech, Language and Hearing Service Providers
Classification Specialist/Technologist
Specialization Speech-Language Assistant

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1033716998 Malik Meeks Specialist/Technologist 5625 Allentown Rd Ste 200, Suitland, MD 20746-4521 2020-10-05
1235653411 Michanett Rael Luchie Specialist/Technologist 9470 Annapolis Rd Ste 409, Lanham, MD 20706-3061 2017-07-31
1639604416 Schade Millar Specialist/Technologist 4600 Tall Maple Ct, Ellicott City, MD 21043-6762 2017-04-28
1891127445 Tiera Chenault Specialist/Technologist 21515 Zion Rd, Brookeville, MD 20833-1009 2013-08-06
1629350699 Tiffany West Specialist/Technologist 2040 E 32nd St, Rm 114, Baltimore, MD 21218-3107 2011-09-15
1699064212 Margaret Ann Jones Specialist/Technologist 12931 Dean Rd, Silver Spring, MD 20906-5138 2011-04-04
1548597859 Geiza Izabel Keller-souza Specialist/Technologist 12937 Beethoven Blvd, Silver Spring, MD 20904 2009-11-06
1568798742 Irma Azuero Specialist/Technologist 9801 Georgia Ave Ste 229, Silver Spring, MD 20902-5276 2009-10-23
1700111481 Tulia Maria Orozco Specialist/Technologist 690 Concerto Ln, Silver Spring, MD 20901 2009-10-13
1649812348 Antoria Yates Specialist/Technologist 4451 Parliament Pl Ste A, Lanham, MD 20706-1868 2019-10-14
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Competitor

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City LA PLATA
Zip Code 20646

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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