Provider Demographics
NPI:1881822641
Name:WORDEN, MARC (HEARING AID SPECIALI)
Entity Type:Individual
Prefix:MR
First Name:MARC
Middle Name:
Last Name:WORDEN
Suffix:
Gender:M
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6909 SHEPHERD ST
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20784-2533
Mailing Address - Country:US
Mailing Address - Phone:301-365-6270
Mailing Address - Fax:
Practice Address - Street 1:7103 DEMOCRACY BLVD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20817-1007
Practice Address - Country:US
Practice Address - Phone:301-365-6270
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02509237700000X
VA2101001530237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist