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Individual

SPENCER PEVAHOUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
4601 HERITAGE TRACE PKWY, FORT WORTH, TX 76244-8905
(817) 431-7985
Mailing address
6128 ANITA ST, DALLAS, TX 75214-2611

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
TX

Other

Enumeration date
05/22/2023
Last updated
09/16/2025
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