Provider Demographics
NPI:1023289980
Name:SHERRI DIBATTTISTA
Entity type:Organization
Organization Name:SHERRI DIBATTTISTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:L
Authorized Official - Last Name:DIBATTISTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-675-6752
Mailing Address - Street 1:8317 SWEET CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1061
Mailing Address - Country:US
Mailing Address - Phone:301-675-6752
Mailing Address - Fax:
Practice Address - Street 1:1667 CROFTON PARKWAY
Practice Address - Street 2:SUITE 1
Practice Address - City:CROFTON
Practice Address - State:MD
Practice Address - Zip Code:21114
Practice Address - Country:US
Practice Address - Phone:410-721-2700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD109NMedicare PIN