# MR. DOUGLAS J SPEAR

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1649257817
- **Gender:** Man
- **Credential:** MA CCC A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 0154 | KY | — |
| 231H00000X | Audiologist | 100064 | KY | Yes |
| 237700000X | Hearing Instrument Specialist | 0496 | KY | — |
| 237700000X | Hearing Instrument Specialist | 101441 | KY | — |

## Other

- **Enumeration date:** 12/28/2005
- **Last updated:** 09/14/2023