Organization
DERAMUS HEARING AID CENTERA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA DERAMUS (OWNER)
(334) 262-7553
Entity
Organization
Contact information
Practice address
2809 CHESTNUT ST, MONTGOMERY, AL 36107-3007
(334) 262-7553
(334) 261-3132
Mailing address
2809 CHESTNUT ST, MONTGOMERY, AL 36107-3007
(334) 262-7553
(334) 261-3132
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
GA
235Z00000X
Speech-Language Pathologist
1051A
AL
237600000X
Audiologist-Hearing Aid Fitter
4136
AL
237700000X
Hearing Instrument Specialist
Primary
11284
AL
237700000X
Hearing Instrument Specialist
HA0593
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124308366
NPI
FL
01
—
1578892642
NPI
AL
01
—
1689954976
NPI
AL
01
—
1801040621
NPI
AL
01
—
1962754010
NPI
FL
Enumeration date
11/27/2012
Last updated
11/27/2012
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