Healthcare Provider Details

I. General information

NPI: 1881302008
Provider Name (Legal Business Name): CAPITAL INSTITUTE OF HEARING & BALANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2022
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 100
CHEVY CHASE MD
20815-5849
US

IV. Provider business mailing address

8401 CONNECTICUT AVE STE 100
CHEVY CHASE MD
20815-5849
US

V. Phone/Fax

Practice location:
  • Phone: 240-670-1200
  • Fax: 240-719-0534
Mailing address:
  • Phone: 240-670-1200
  • Fax: 240-719-0534

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. JACQUELYN CLARINE JACKSON LOVITT
Title or Position: COFOUNDER/AUDIOLOGIST
Credential: AUD
Phone: 240-670-1200