Dr. Leticia Carissa Claytor-Hardy, Au.D.
Audiologist in Annapolis, MD. Individual provider (NPI-1).
NPI number1396901419
StatusActive
Last updated in NPPESFeb 24, 2025
Details
- NPI
- 1396901419
- Entity type
- Individual (NPI-1)
- Name
- Dr. Leticia Carissa Claytor-Hardy
- Credential
- Au.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 29, 2008
- Certification date
- Feb 21, 2025
- Last updated
- Feb 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 2201001417 | VA | Yes |
| 231H00000X | Audiologist | 01092 | MD |
Other names
- Tish Carissa Claytor (Professional Name)
Practice location
695 Kinkaid RdAnnapolis, MD 21402-1006
Phone 410-293-2009
Mailing address
695 Kinkaid RoadAnnapolis, MD 21402
Phone 410-293-2009
Other practice locations
1970 Roanoke Boulevard
Salem, VA 24153-6404
Salem, VA 24153-6404
Phone 540-982-2463 · Fax 540-224-1922
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