Individual
MRS. DEBRA HELEN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-A
Contact information
Practice address
162 E BROADWAY, MONTICELLO, NY 12701-8815
(845) 796-1350
Mailing address
3 KNOLLS RD, WALLKILL, NY 12589-3622
(845) 895-8810
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0018671
NY
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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