Healthcare Provider Details

I. General information

NPI: 1124131933
Provider Name (Legal Business Name): AUDITORY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 01/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 ELTON RD SUITE #104
SILVER SPRING MD
20903
US

IV. Provider business mailing address

1734 ELTON RD SUITE #104
SILVER SPRING MD
20903
US

V. Phone/Fax

Practice location:
  • Phone: 301-434-4300
  • Fax: 301-434-6299
Mailing address:
  • Phone: 301-434-4300
  • Fax: 301-434-6299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number897
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number824
License Number StateMD

VIII. Authorized Official

Name: MRS. KATHY A GRACE
Title or Position: AUDIOLOGIST OWNER
Credential: MA CCC A
Phone: 301-434-4300