Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gammon Edward Gresham, SLPA

Individual provider Speech-Language Assistant · NPI 1144049479

Gammon Edward Gresham, SLPA is a Speech-Language Assistant in Waldorf, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024

Practice location Address checks out

2300 Smallwood Dr W
Waldorf, MD 20603-4447
Phone: (301) 753-1769
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Assistant (primary) Taxonomy 2355S0801X · Licence 00918A (MD)

Record details

NPI number1144049479
Entity typeIndividual (Type 1)
GenderMale
Credentials SLPA
Sole proprietorYes
NPI enumeratedOctober 3, 2024
Last updated in NPPESOctober 3, 2024
Certification dateOctober 3, 2024
Mailing address1119 State Route 3 N Ste 201, Gambrills, MD 21054-1788

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