Individual
MS. DEBORAH ANN KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-A
Contact information
Practice address
3 MEDICAL PLAZA DR STE 220, ROSEVILLE, CA 95661-3088
(916) 773-7920
(916) 773-7919
Mailing address
999 S FAIRMONT AVE, SUITE 215, LODI, CA 95240-5100
(209) 333-8510
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1094
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU1094
STATE LICENSE
CA
05
—
AU1094
—
CA
Enumeration date
01/07/2014
Last updated
02/03/2022
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