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Pediatric Speech Lab

Pediatric Speech Lab is a healthcare organization registered as Speech-Language Pathologist in Waldorf, MD, holding Type 2 (organization) NPI 1720524598 since 2017. The authorized official on file is Quintina Briscoe, Speech-Language Pathologist/ Owner.

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NPI 1720524598
Entity type Organization (Type 2)
Legal business name Pediatric Speech Lab
Practice address 11350 PEMBROOKE SQ STE 313, Waldorf, MD, 20603
Phone 3018850033
Enumeration date 2017-01-17
Last updated in NPPES 2022-09-01

Authorized official

Name Quintina Briscoe
Title Speech-Language Pathologist/ Owner
Phone 3018850033

Taxonomy & classification

Taxonomy code Specialty Primary License State
103K00000X Behavior Analyst Secondary
106E00000X Assistant Behavior Analyst Secondary
235Z00000X Speech-Language Pathologist Secondary 08341 MD
251S00000X Community/Behavioral Health Agency Secondary
261QM1300X Multi-Specialty Clinic/Center Secondary
235Z00000X Speech-Language Pathologist Primary SLP000879 DC
Copy-ready billing details
Provider: Pediatric Speech Lab
NPI: 1720524598
Taxonomy: 235Z00000X (Speech-Language Pathologist)
Address: 11350 PEMBROOKE SQ STE 313, Waldorf, MD, 20603

Providers at this address

NPI Name Type Specialty Location
1902226988 Quintina Briscoe Individual Speech-Language Pathologist Waldorf, MD
1891244042 A Network of Care Home Healthcare Specialists, LLC Organization In Home Supportive Care Agency Waldorf, MD
1578221875 Terence Dorsey Individual Behavior Analyst Waldorf, MD
1538861802 Pediatric Speech Lab Organization Health Service Clinic/Center Waldorf, MD
1336918010 Julianna Mccallum Individual Speech-Language Assistant Waldorf, MD
1063240836 Shaquita Nibblins Individual Behavior Technician Waldorf, MD
1952139834 Mekhi Campbell Individual Behavior Technician Waldorf, MD

Verify this record

Cross-check NPI 1720524598 against the authoritative CMS record: view Pediatric Speech Lab on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Pediatric Speech Lab?
Pediatric Speech Lab is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-09-01.