Healthcare Provider Details

I. General information

NPI: 1669477436
Provider Name (Legal Business Name): MARSHA S SCHWARTZ PH.D., CCC-A, FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2005
Last Update Date: 06/18/2020
Certification Date: 06/18/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

133 ROLLINS AVE STE 2
ROCKVILLE MD
20852-4040
US

IV. Provider business mailing address

1320 OLD CHAIN BRIDGE RD STE 185
MC LEAN VA
22101-3945
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-7670
  • Fax:
Mailing address:
  • Phone: 703-866-8819
  • Fax: 855-750-3325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number00540
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number00540
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: