Healthcare Provider Details

I. General information

NPI: 1316126360
Provider Name (Legal Business Name): REBECCA HUZZY AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2007
Last Update Date: 08/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3855 WEST CHESTER PIKE THE ELLIS PRESERVE SUITE 280
NEWTOWN PA
19703-2304
US

IV. Provider business mailing address

P.O. BOX 191
ROCKLAND DE
19723-0191
US

V. Phone/Fax

Practice location:
  • Phone: 610-557-4800
  • Fax: 610-557-4816
Mailing address:
  • Phone: 302-651-4000
  • Fax: 302-651-4945

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number05-0000044
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number06-0000211
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT006061
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: