Provider Demographics
NPI:1083855241
Name:CUMBERLAND HEARING CENTER, INC.
Entity Type:Organization
Organization Name:CUMBERLAND HEARING CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:DITTMER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, F/AAA
Authorized Official - Phone:301-722-8060
Mailing Address - Street 1:508 N CENTRE ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2103
Mailing Address - Country:US
Mailing Address - Phone:301-722-8060
Mailing Address - Fax:301-724-4448
Practice Address - Street 1:508 N CENTRE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2103
Practice Address - Country:US
Practice Address - Phone:301-722-8060
Practice Address - Fax:301-724-4448
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2009-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00793231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty