Individual
MS. SHANDA BRASHEARS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
3855 W CHESTER PIKE STE 280, NEWTOWN SQUARE, PA 19073-2304
(610) 557-4800
(610) 557-4816
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
02-0000149
DE
231H00000X
Audiologist
Primary
O20000149
DE
237600000X
Audiologist-Hearing Aid Fitter
AT006062
PA
Other
Enumeration date
10/31/2007
Last updated
03/27/2013
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