Provider Demographics
NPI:1538473558
Name:BOWIE HEARING CENTER
Entity Type:Organization
Organization Name:BOWIE HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:GWYNETH
Authorized Official - Middle Name:W
Authorized Official - Last Name:NEWCOMB
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:301-464-6701
Mailing Address - Street 1:3233 SUPERIOR LN
Mailing Address - Street 2:SUITE B-2
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20715-1920
Mailing Address - Country:US
Mailing Address - Phone:301-464-6701
Mailing Address - Fax:301-464-8217
Practice Address - Street 1:3233 SUPERIOR LN
Practice Address - Street 2:SUITE B-2
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20715-1920
Practice Address - Country:US
Practice Address - Phone:301-464-6701
Practice Address - Fax:301-464-8217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty