Provider Demographics
NPI:1598959652
Name:PERRY, MATTHEW HUNTER (AUD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:HUNTER
Last Name:PERRY
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 BEL AIR SOUTH PKWY
Mailing Address - Street 2:SUITE N1411
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6091
Mailing Address - Country:US
Mailing Address - Phone:410-569-5999
Mailing Address - Fax:443-320-9468
Practice Address - Street 1:5 BEL AIR SOUTH PKWY
Practice Address - Street 2:SUITE N1411
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6091
Practice Address - Country:US
Practice Address - Phone:410-569-5999
Practice Address - Fax:443-320-9468
Is Sole Proprietor?:No
Enumeration Date:2007-08-31
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02619237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD413891100Medicaid
MDP00643656Medicare PIN
MD413891100Medicaid