MEDICARE: DR. VANESSA M BETANCOURT AUD, CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	9304	NC
2	231H00000X	Audiologist	DA10187	AZ

General Provider Information

NPI Number	:	1851666846
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VANESSA M BETANCOURT AUD, CCC-A

Provider Business Mailing Address
First Line	:	20745 N SCOTTSDALE RD STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6595
Country	:	US
Telephone Number	:	480-534-4525
Fax Number	:

Provider Business Practice Location Address
First Line	:	20745 N SCOTTSDALE RD STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6595
Country	:	US
Telephone Number	:	480-534-4525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/09/2012
Last Update Date	:	04/13/2025

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