Individual
JENELL DOUGLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
107 NEWTOWN RD STE 2A, DANBURY, CT 06810
(203) 830-4700
(203) 730-4165
Mailing address
107 NEWTOWN RD STE 2A, DANBURY, CT 06810-4151
(203) 830-4700
(203) 730-4165
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
618
CT
Other
Enumeration date
10/02/2017
Last updated
08/07/2018
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