Provider Demographics
NPI:1457360380
Name:ADORNTTO, CARA I (CCC)
Entity type:Individual
Prefix:MS
First Name:CARA
Middle Name:I
Last Name:ADORNTTO
Suffix:
Gender:F
Credentials:CCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:802 LANDMARK DR
Mailing Address - Street 2:STE 119
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21061
Mailing Address - Country:US
Mailing Address - Phone:410-328-6897
Mailing Address - Fax:410-328-2109
Practice Address - Street 1:802 LANDMARK DR. STE 119
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061
Practice Address - Country:US
Practice Address - Phone:410-760-8840
Practice Address - Fax:410-367-2464
Is Sole Proprietor?:No
Enumeration Date:2006-08-07
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01086231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD65104801OtherBLUE SHIELD
MD0016OtherCAREFIRST REGIONAL
MD257287OtherKAISER
MD3544OtherGEISINGER
MDM539Medicare PIN
MDQ54260Medicare UPIN