Provider Demographics
NPI:1891103610
Name:SPERRY, CORTNEY A (AUD)
Entity Type:Individual
Prefix:
First Name:CORTNEY
Middle Name:A
Last Name:SPERRY
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CORTNEY
Other - Middle Name:A
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:580 RITCHIE HWY STE I
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3926
Mailing Address - Country:US
Mailing Address - Phone:410-647-7795
Mailing Address - Fax:410-315-8823
Practice Address - Street 1:580 RITCHIE HWY STE I
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-3926
Practice Address - Country:US
Practice Address - Phone:410-647-7795
Practice Address - Fax:410-315-8823
Is Sole Proprietor?:No
Enumeration Date:2014-07-24
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
MD01330231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist