Provider Demographics
NPI:1528366382
Name:PIRTLE, CAROLINE ANNE
Entity Type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:ANNE
Last Name:PIRTLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:ANNE
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1700 KINGFISHER DR
Mailing Address - Street 2:SUITE 27
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-4775
Mailing Address - Country:US
Mailing Address - Phone:301-846-0222
Mailing Address - Fax:301-846-7707
Practice Address - Street 1:1700 KINGFISHER DR
Practice Address - Street 2:SUITE 27
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4775
Practice Address - Country:US
Practice Address - Phone:301-846-0222
Practice Address - Fax:301-846-7707
Is Sole Proprietor?:No
Enumeration Date:2011-03-03
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02649237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist