Healthcare Provider Details

I. General information

NPI: 1710519541
Provider Name (Legal Business Name): HEARING CENTER OF CHESTERTOWN, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2020
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WASHINGTON AVE
CHESTERTOWN MD
21620-1239
US

IV. Provider business mailing address

500 WASHINGTON AVE
CHESTERTOWN MD
21620-1239
US

V. Phone/Fax

Practice location:
  • Phone: 410-778-5170
  • Fax: 410-778-6195
Mailing address:
  • Phone: 410-778-5170
  • Fax: 410-778-6195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: BARBARA J. MCLENDON
Title or Position: OWNER
Credential:
Phone: 410-778-5170