Basic Information
| Provider Information | |||||||||
| NPI: | 1093151623 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MANCHESTER | ||||||||
| FirstName: | DEBORAH | ||||||||
| MiddleName: | MARIE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 44349 LOWTREE AVE STE 106 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935344104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6619020400 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 44349 LOWTREE AVE STE 106 | ||||||||
| Address2: | |||||||||
| City: | LANCASTER | ||||||||
| State: | CA | ||||||||
| PostalCode: | 935344104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6619020400 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/22/2013 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | A-0151 | OH | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.