Healthcare Provider Details

I. General information

NPI: 1336398403
Provider Name (Legal Business Name): AURION LOUISE DWYER AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2008
Last Update Date: 11/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 HOSPITAL DR SUITE G4
CLINTON MD
20735-3110
US

IV. Provider business mailing address

10403 HOSPITAL DR SUITE G-4
CLINTON MD
20735-3134
US

V. Phone/Fax

Practice location:
  • Phone: 301-877-0891
  • Fax: 301-856-0536
Mailing address:
  • Phone: 301-856-3019
  • Fax: 301-856-9370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00486
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: