Healthcare Provider Details

I. General information

NPI: 1366610909
Provider Name (Legal Business Name): CASTLE HEARING CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2008
Last Update Date: 02/18/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 TOLL HOUSE AVE D 3
FREDERICK MD
21701-4564
US

IV. Provider business mailing address

801 TOLL HOUSE AVE D 3
FREDERICK MD
21701-4564
US

V. Phone/Fax

Practice location:
  • Phone: 301-846-0222
  • Fax: 301-846-7707
Mailing address:
  • Phone: 301-846-0222
  • Fax: 301-846-7707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number123
License Number StateMD

VIII. Authorized Official

Name: MS. SANDRA BARNES CASTLE
Title or Position: PRESIDENT
Credential: M.ED.
Phone: 301-846-0222