Provider Demographics
NPI:1811221120
Name:PASTORELLI, CLAUDIA (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:PASTORELLI
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19110 MONTGOMERY VILLAGE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-3706
Mailing Address - Country:US
Mailing Address - Phone:301-977-6317
Mailing Address - Fax:301-977-8503
Practice Address - Street 1:19110 MONTGOMERY VILLAGE AVE STE 120
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-3706
Practice Address - Country:US
Practice Address - Phone:301-977-6317
Practice Address - Fax:301-977-8503
Is Sole Proprietor?:No
Enumeration Date:2009-09-21
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1601000544237600000X
MD01658237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
1601000544OtherAUDIOLOGIST LICENSE