Healthcare Provider Details

I. General information

NPI: 1831611268
Provider Name (Legal Business Name): MARY BARRETT AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2017
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9420 KEY WEST AVE STE 310
ROCKVILLE MD
20850-6212
US

IV. Provider business mailing address

9420 KEY WEST AVE STE 310
ROCKVILLE MD
20850-6212
US

V. Phone/Fax

Practice location:
  • Phone: 301-315-5888
  • Fax: 301-315-5866
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1601000784
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01536
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: