Provider Demographics
NPI:1063650299
Name:HAUGHEY, GERRY G (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:GERRY
Middle Name:G
Last Name:HAUGHEY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5454 WISCONSIN AVE STE 1535
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-6922
Mailing Address - Country:US
Mailing Address - Phone:301-652-8847
Mailing Address - Fax:301-652-3751
Practice Address - Street 1:5454 WISCONSIN AVE STE 1540
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6954
Practice Address - Country:US
Practice Address - Phone:301-652-8847
Practice Address - Fax:301-652-3751
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00361231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist