Doctor Name: | MEL A DERMODY |
NPI Number: | 1083023295 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | H.I.D. |
License Number: | 3189 |
Business Practice Address: | 2844 N.sheridan Road Chicago, IL - 60657 |
Business Phone Number: | 7736973983 |
Business Fax Number: | 7736977839 |
Mailing Address: | 11457 Olde Cabin Rd, Suite 337 CREVE COEUR |
State: | MO |
Postal Code: | 631417139 |
Phone Number: | 3148886653 |
Fax Number: | 3148886662 |
NPI Enumeration Date: | 08/13/2014 |
NPI Last Update Date: | 08/13/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 3189 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |