Provider Demographics
NPI:1922097617
Name:ALAND, CAROLINE H (AUD)
Entity Type:Individual
Prefix:DR
First Name:CAROLINE
Middle Name:H
Last Name:ALAND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:DEROSSET
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
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:443-496-0929
Mailing Address - Fax:410-315-8823
Practice Address - Street 1:580 RITCHIE HWY
Practice Address - Street 2:STE I
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-3924
Practice Address - Country:US
Practice Address - Phone:410-647-7795
Practice Address - Fax:410-315-8823
Is Sole Proprietor?:No
Enumeration Date:2005-10-17
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00484231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
21425OtherALLIANCE MAMSI MDIPA OPTI
505592OtherUS HEALTHCARE
KW03OtherBLUE SHIELD
4560313OtherAETNA
53637402OtherCAREFIRST BLUE CROSS
0001F190OtherCAREFIRST BLUE CHOICE BLU
6868696OtherCIGNA
640004641Medicare ID - Type UnspecifiedRAILROAD MEDICARE
21425OtherALLIANCE MAMSI MDIPA OPTI
MD474L384CMedicare PIN