Provider Demographics
NPI:1003953811
Name:SURR, RAUNA KAROLIINA (AUDIOLOGIST)
Entity Type:Individual
Prefix:
First Name:RAUNA
Middle Name:KAROLIINA
Last Name:SURR
Suffix:
Gender:F
Credentials:AUDIOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8217 LILLY STONE DR
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20817-4505
Mailing Address - Country:US
Mailing Address - Phone:301-469-9170
Mailing Address - Fax:
Practice Address - Street 1:8217 LILLY STONE DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-4505
Practice Address - Country:US
Practice Address - Phone:301-469-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT001048231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist