Individual
DR. STACEY SAMUELS COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
4801 DORSEY HALL DR STE 135, ELLICOTT CITY, MD 21042-7763
(410) 885-6700
(410) 885-6821
Mailing address
19110 MONTGOMERY VILLAGE AVE, STE 120, MONTGOMERY VILLAGE, MD 20886-3706
(301) 977-6317
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01050
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
193403100
—
MD
Enumeration date
10/01/2007
Last updated
08/11/2021
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