Individual
ELLEN JOAN DERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
1 PILLSBURY ST, CONCORD, NH 03301-3556
(603) 856-8275
Mailing address
1 PILLSBURY ST, CONCORD, NH 03301-3556
(603) 856-8275
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
9493
NC
231H00000X
Audiologist
Primary
A786
NH
Other
Enumeration date
01/03/2012
Last updated
05/18/2020
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