Healthcare Provider Details
I. General information
NPI: 1306781281
Provider Name (Legal Business Name): SEVERN SOUND & BALANCE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
209 LYNELL CT
SEVERNA PARK MD
21146-2014
US
IV. Provider business mailing address
209 LYNELL CT
SEVERNA PARK MD
21146-2014
US
V. Phone/Fax
- Phone: 443-786-5332
- Fax:
- Phone: 443-786-5332
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CORTNEY
SPERRY
Title or Position: FOUNDER/LEAD AUDIOLOGIST
Credential: AU.D., CCC-A
Phone: 443-786-5332