Provider Demographics
NPI:1548388713
Name:REMBE, RAYMOND R (MED, CCC-A)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:R
Last Name:REMBE
Suffix:
Gender:M
Credentials:MED, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7116 MUNFORD RD
Mailing Address - Street 2:
Mailing Address - City:WINDSOR MILL
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1841
Mailing Address - Country:US
Mailing Address - Phone:410-298-4179
Mailing Address - Fax:410-298-4179
Practice Address - Street 1:7116 MUNFORD RD
Practice Address - Street 2:
Practice Address - City:WINDSOR MILL
Practice Address - State:MD
Practice Address - Zip Code:21244-1841
Practice Address - Country:US
Practice Address - Phone:410-298-4179
Practice Address - Fax:410-298-4179
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00022231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD44760OtherI.W.I.F.
MDL001OtherCAREFIRST BLUECROSS BLUES