Individual
DR. AMANDA DOVE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
101 CLARKE PL, FREDERICK, MD 21701
(301) 360-2087
(301) 360-1403
Mailing address
1333 GREYSWOOD RD, ODENTON, MD 21113-2118
(240) 604-5501
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01275
MD
231H00000X
Audiologist
AUD000075
DC
Other
Enumeration date
11/29/2011
Last updated
02/17/2021
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