Provider Demographics
NPI:1649246000
Name:BARWELL, DAVID (MA AUDIOLOGY)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:BARWELL
Suffix:
Gender:M
Credentials:MA AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19231 MONTGOMERY VILLAGE AVE
Mailing Address - Street 2:SUITE D14
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20886-5023
Mailing Address - Country:US
Mailing Address - Phone:301-840-5517
Mailing Address - Fax:301-840-5518
Practice Address - Street 1:19231 MONTGOMERY VILLAGE AVE
Practice Address - Street 2:SUITE D14
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20886-5023
Practice Address - Country:US
Practice Address - Phone:301-840-5517
Practice Address - Fax:301-840-5518
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00069231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC54693002OtherCAREFIRST DC
1670636001OtherCIGNA
MD52970013OtherCAREFIRST MD
1670636001OtherCIGNA
S19657Medicare UPIN
DC54693002OtherCAREFIRST DC