Healthcare Provider Details

I. General information

NPI: 1912051392
Provider Name (Legal Business Name): MARGARET LOUISE DEVANE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 01/03/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 S BROADWAY STE 209
WALNUT CREEK CA
94596-5219
US

IV. Provider business mailing address

710 S BROADWAY STE 209
WALNUT CREEK CA
94596-5219
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-4327
  • Fax: 925-295-5496
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU1116
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberHA2409
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: