Provider Demographics
NPI:1366848947
Name:FREEDOM HEARING CENTER LLC
Entity Type:Organization
Organization Name:FREEDOM HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:JAHED
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:443-295-7100
Mailing Address - Street 1:135 W DARES BEACH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-3127
Mailing Address - Country:US
Mailing Address - Phone:443-295-7100
Mailing Address - Fax:443-295-7555
Practice Address - Street 1:135 W DARES BEACH RD STE 102
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-3127
Practice Address - Country:US
Practice Address - Phone:410-610-2246
Practice Address - Fax:443-432-3943
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00684231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty