Provider Demographics
NPI:1871900902
Name:THE MENDELSON GROUP, LLC
Entity type:Organization
Organization Name:THE MENDELSON GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MENDELSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:301-299-6714
Mailing Address - Street 1:11604 BUNNELL CT S
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-3603
Mailing Address - Country:US
Mailing Address - Phone:301-299-6714
Mailing Address - Fax:
Practice Address - Street 1:11604 BUNNELL CT S
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-3603
Practice Address - Country:US
Practice Address - Phone:301-299-6714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty