MEDICARE: MRS. SUSAN RHODES HELLYER M.S., CCC-A, FAAA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter	01075	MD

General Provider Information

NPI Number	:	1972595791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SUSAN RHODES HELLYER M.S., CCC-A, FAAA

Provider Business Mailing Address
First Line	:	5205 MINEOLA RD
Second Line	:
City	:	COLLEGE PARK
State	:	MD
Zip	:	20740-4611
Country	:	US
Telephone Number	:	301-345-8696
Fax Number	:

Provider Business Practice Location Address
First Line	:	2021 K ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20006-1003
Country	:	US
Telephone Number	:	202-223-0886
Fax Number	:	202-223-3527

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2005
Last Update Date	:	07/08/2007

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