Individual
TYLER RAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AU.D
Contact information
Practice address
580 RITCHIE HWY, SUITE I, SEVERNA PARK, MD 21146-3924
(410) 647-7795
(410) 315-8823
Mailing address
580 RITCHIE HWY, SUITE I, SEVERNA PARK, MD 21146-3924
(410) 647-7795
(410) 315-8823
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
01382
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01382
MD LICENSES
MD
Enumeration date
07/18/2015
Last updated
04/25/2016
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