Provider Demographics
NPI:1306242243
Name:JARAMILLO, ANA-MARIA (SLPD, CCC-SLP)
Entity type:Individual
Prefix:
First Name:ANA-MARIA
Middle Name:
Last Name:JARAMILLO
Suffix:
Gender:F
Credentials:SLPD, CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1100 H ST NW STE 940
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5498
Mailing Address - Country:US
Mailing Address - Phone:202-765-5445
Mailing Address - Fax:202-897-2251
Practice Address - Street 1:1100 H ST NW STE 940
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-5498
Practice Address - Country:US
Practice Address - Phone:202-734-4884
Practice Address - Fax:202-897-2251
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-04
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD08902235Z00000X
VA2202008834235Z00000X
DCSLP001221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC084453903Medicaid