Most Relevant Information
Provider Data
| NPI Number: | 1003077397 |
| Provider Name: | ELISE DAWN GUTTRIDGE M.A. |
| Entity Type: | Individual |
| Taxonomy Code: | 231H00000X |
| Specialty: | Audiologist |
| License Number: | 728 |
Most Important Dates
| Enumeration Date: | 06/19/2008 |
| Last Updated: | 12/08/2011 |
Provider Practice Location
8025 RITCHIE HWY
SUITE 102
PASADENA
MD
21122
Practice Location Phone/Fax
| Phone: | 4105905572 |
| Fax: | 4106953530 |
Provider Mailing Location
8025 RITCHIE HWY SUITE 102
3D HEARING/BELTONE HEARING AID CENTER
PASADENA
MD
21122
Provider Mailing Phone/Fax
| Phone: | 4105905572 |
| Fax: | 4106953530 |