Individual
DR. ELYSSA N MCRAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
13535 NEMOURS PARKWAY, NEMOURS CHILDRENS HOSPITAL, ORLANDO, FL 32827-7402
(407) 567-4000
(407) 567-5924
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-5718
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1435
FL
Other
Enumeration date
05/01/2008
Last updated
12/23/2014
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