Provider Demographics
NPI:1780805754
Name:MARCINKUS, ELIZABETH HELLMUTH (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HELLMUTH
Last Name:MARCINKUS
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:KATHERINE
Other - Last Name:HELLMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:800 FLORIDA AVE NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20002-3600
Mailing Address - Country:US
Mailing Address - Phone:202-651-5328
Mailing Address - Fax:
Practice Address - Street 1:800 FLORIDA AVE NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-3600
Practice Address - Country:US
Practice Address - Phone:202-651-5328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002198-1231H00000X
NY14000026309237700000X
VA2201001307231H00000X
VA2101001607237700000X
MD01271237600000X
DCAUD000116237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist