Provider Demographics
NPI:1457163511
Name:MAU-SLONE, SIMONE C
Entity type:Individual
Prefix:MS
First Name:SIMONE
Middle Name:C
Last Name:MAU-SLONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7004 LAMP POST LN
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1325
Mailing Address - Country:US
Mailing Address - Phone:571-303-8502
Mailing Address - Fax:
Practice Address - Street 1:11140 ROCKVILLE PIKE STE 100
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3149
Practice Address - Country:US
Practice Address - Phone:240-575-6210
Practice Address - Fax:240-877-0511
Is Sole Proprietor?:No
Enumeration Date:2025-01-24
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No171M00000XOther Service ProvidersCase Manager/Care Coordinator