Healthcare Provider Details

I. General information

NPI: 1093845646
Provider Name (Legal Business Name): SARAH LYNN WITTE AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 PENNSYLVANIA AVE NW
WASHINGTON DC
20037-3202
US

IV. Provider business mailing address

2101 EAST JEFFERSON STREET KAISER PERMANENTE ATTN: SANJAY MATHUR 3 WEST DATA MGMT.
ROCKVILLE MD
20852-4908
US

V. Phone/Fax

Practice location:
  • Phone: 202-872-7000
  • Fax: 301-816-7170
Mailing address:
  • Phone: 301-816-7446
  • Fax: 301-816-7170

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: