IndividualActive
Marla Pennell, AUD CCC-A
NPI 1174559017 · Audiologist · Georgetown, TX
Provider details
- NPI number
- 1174559017
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AUD CCC-A
- Sex
- Female
- Sole proprietor
- No
- License
- 50953 (TX)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
100 River Hills Dr Ste 105
Georgetown, TX 78628-3682
Phone: (512) 763-8855
Fax: (830) 240-5780
Approximate (ZIP-level) locationGet directions
Mailing address
100 River Hills Dr Ste 105
Georgetown, TX 78628-3682
Registry dates
- Enumerated
- 2006-06-23
- Last updated
- 2026-01-20
- Certified
- 2026-01-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.