Provider Demographics
NPI:1336398403
Name:DWYER, AURION LOUISE (AUD)
Entity Type:Individual
Prefix:DR
First Name:AURION
Middle Name:LOUISE
Last Name:DWYER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10403 HOSPITAL DR
Mailing Address - Street 2:SUITE G-4
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-3134
Mailing Address - Country:US
Mailing Address - Phone:301-856-3019
Mailing Address - Fax:301-856-9370
Practice Address - Street 1:10401 HOSPITAL DR
Practice Address - Street 2:SUITE G4
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-3110
Practice Address - Country:US
Practice Address - Phone:301-877-0891
Practice Address - Fax:301-856-0536
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00486231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC624316OtherHIGHMARK MEDICARE GROUP #
MD1851473722OtherGROUP NPI