Provider Demographics
NPI:1992895734
Name:PRIEBE, SHARON LYNN (AUD)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNN
Last Name:PRIEBE
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:ROOF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:11350 MCCORMICK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21065-9998
Mailing Address - Country:US
Mailing Address - Phone:410-821-5151
Mailing Address - Fax:410-321-0772
Practice Address - Street 1:11350 MCCORMICK RD STE 102
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21065-9998
Practice Address - Country:US
Practice Address - Phone:410-821-5151
Practice Address - Fax:410-321-0772
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01115231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist