Healthcare Provider Details

I. General information

NPI: 1972550200
Provider Name (Legal Business Name): DEBORAH L BERNDTSON AU.D., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 08/17/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 LEFRAK HALL UNIVERSITY OF MARYLAND
COLLEGE PARK MD
20742-8211
US

IV. Provider business mailing address

100 LEFRAK HALL UNIVERSITY OF MARYLAND
COLLEGE PARK MD
20742-8211
US

V. Phone/Fax

Practice location:
  • Phone: 301-405-5562
  • Fax: 301-314-2023
Mailing address:
  • Phone: 301-405-5562
  • Fax: 301-314-2023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number01187
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: