Provider Demographics
NPI:1396222089
Name:MCDERMOTT, ANNAMARIE C (AUD)
Entity Type:Individual
Prefix:
First Name:ANNAMARIE
Middle Name:C
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:ANNAMARIE
Other - Middle Name:C
Other - Last Name:ROSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:424 BARNES STREET
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-3958
Mailing Address - Country:US
Mailing Address - Phone:410-838-4327
Mailing Address - Fax:410-510-1814
Practice Address - Street 1:424 BARNES STREET
Practice Address - Street 2:SUITE 102
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-3958
Practice Address - Country:US
Practice Address - Phone:410-838-4327
Practice Address - Fax:410-510-1814
Is Sole Proprietor?:No
Enumeration Date:2018-07-25
Last Update Date:2018-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01461231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist