Provider Demographics
NPI:1346124823
Name:ELWELL, JAMI (CCC-SLP)
Entity type:Individual
Prefix:
First Name:JAMI
Middle Name:
Last Name:ELWELL
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18151 SAINT JEROMES NECK RD
Mailing Address - Street 2:
Mailing Address - City:DAMERON
Mailing Address - State:MD
Mailing Address - Zip Code:20628-3308
Mailing Address - Country:US
Mailing Address - Phone:775-901-0818
Mailing Address - Fax:
Practice Address - Street 1:44550 TALL TIMBERS RD
Practice Address - Street 2:
Practice Address - City:TALL TIMBERS
Practice Address - State:MD
Practice Address - Zip Code:20690-2009
Practice Address - Country:US
Practice Address - Phone:301-475-5511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-05
Last Update Date:2025-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD708494235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist