Individual
MS. DANIELLE WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753-2305
(732) 280-7855
(732) 280-7815
Mailing address
3700 ROUTE 33, SUITE 101, NEPTUNE, NJ 07753-2305
(732) 280-7855
(732) 280-7815
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
41YA00059600
NJ
231HA2400X
Assistive Technology Practitioner Audiologist
25MG00082100
NJ
231HA2500X
Assistive Technology Supplier Audiologist
25MG00082100
NJ
237600000X
Audiologist-Hearing Aid Fitter
25MG00082100
NJ
Other
Enumeration date
06/12/2006
Last updated
05/24/2021
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