Provider Demographics
NPI:1972971968
Name:OKAFOR, MICHELLE (AUD)
Entity type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:
Last Name:OKAFOR
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7476 NEW RIDGE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-3177
Mailing Address - Country:US
Mailing Address - Phone:410-582-8981
Mailing Address - Fax:410-582-8992
Practice Address - Street 1:5430 CAMPBELL BLVD
Practice Address - Street 2:SUITE 212
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5500
Practice Address - Country:US
Practice Address - Phone:443-725-5725
Practice Address - Fax:443-725-5738
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01365231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist