Provider Demographics
NPI:1013780139
Name:ANNE ARUNDEL AUDIOLOGY LLC
Entity Type:Organization
Organization Name:ANNE ARUNDEL AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRITNEY
Authorized Official - Middle Name:
Authorized Official - Last Name:OMETZ
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:443-791-1108
Mailing Address - Street 1:1909 HALETHORPE AVE
Mailing Address - Street 2:
Mailing Address - City:HALETHORPE
Mailing Address - State:MD
Mailing Address - Zip Code:21227-4510
Mailing Address - Country:US
Mailing Address - Phone:443-791-1108
Mailing Address - Fax:
Practice Address - Street 1:1600 CRAIN HWY S STE 509
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-6443
Practice Address - Country:US
Practice Address - Phone:410-766-6320
Practice Address - Fax:410-755-8766
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-31
Last Update Date:2024-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty