Healthcare Provider Details

I. General information

NPI: 1891103610
Provider Name (Legal Business Name): CORTNEY A SPERRY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CORTNEY A BUTLER AUD

II. Dates (important events)

Enumeration Date: 07/24/2014
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
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

Practice location:
  • Phone: 443-786-5332
  • Fax:
Mailing address:
  • Phone: 443-786-5332
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number01330
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number01330
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: