Basic Information
| Provider Information | |||||||||
| NPI: | 1518367481 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DARRENKAMP | ||||||||
| FirstName: | REBEKAH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26222 RANCH ROAD 12 | ||||||||
| Address2: | |||||||||
| City: | DRIPPING SPRINGS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 786204903 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 553 MAIN ST | ||||||||
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| City: | HONESDALE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 184311840 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5702538906 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2014 | ||||||||
| LastUpdateDate: | 08/28/2014 | ||||||||
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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 | 237700000X | F03530 | PA | Y | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.