Basic Information
Provider Information
NPI: 1154553634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DUMONT
FirstName: KRISTI
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: AU.D., CCC-A
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 32 MAPLEVILLE DEPOT
Address2:  
City: SAINT ALBANS
State: VT
PostalCode: 054781857
CountryCode: US
TelephoneNumber: 8025240839
FaxNumber: 8025270865
Practice Location
Address1: 32 MAPLEVILLE DEPOT
Address2:  
City: SAINT ALBANS
State: VT
PostalCode: 054781857
CountryCode: US
TelephoneNumber: 8025240839
FaxNumber: 8025270865
Other Information
ProviderEnumerationDate: 08/17/2009
LastUpdateDate: 03/12/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237600000X VTY Speech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter 

No ID Information.


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