Healthcare Provider Details

I. General information

NPI: 1184390650
Provider Name (Legal Business Name): ANGELA R SCHROUT AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2021
Last Update Date: 11/08/2024
Certification Date: 11/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6915 LAUREL BOWIE RD STE 304
BOWIE MD
20715-1725
US

IV. Provider business mailing address

6915 LAUREL BOWIE RD STE 304
BOWIE MD
20715-1725
US

V. Phone/Fax

Practice location:
  • Phone: 301-860-1124
  • Fax: 240-929-4640
Mailing address:
  • Phone: 301-860-1124
  • Fax: 240-929-4640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01570
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number01570
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: