Individual
DR. ERIC DE BLAEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AU.D. CCC-A
Contact information
Practice address
7617 CHANCELLOR WAY, SPRINGFIELD, VA 22153-2344
(414) 339-5263
Mailing address
7617 CHANCELLOR WAY, SPRINGFIELD, VA 22153-2344
(414) 339-5263
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001888
VA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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