Healthcare Provider Details

I. General information

NPI: 1255389458
Provider Name (Legal Business Name): CAREY C DURAND AU.D., FAAA
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: CAREY A CLARK M.S., CCC-A

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 S QUEEN ST
YORK PA
17403-4628
US

IV. Provider business mailing address

4056 WILSHIRE DR
YORK PA
17402-4515
US

V. Phone/Fax

Practice location:
  • Phone: 717-845-6321
  • Fax: 717-845-6320
Mailing address:
  • Phone: 717-600-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAT-001025-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: