Individual
STACY LUNETTA DOUBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3400 SPRUCE ST, 5 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-6525
Mailing address
3400 SPRUCE ST, 5 SILVERSTEIN, PHILADELPHIA, PA 19104-4206
(215) 662-6525
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT006173
PA
Other
Enumeration date
08/03/2010
Last updated
09/03/2015
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