Basic Information
| Provider Information | |||||||||
| NPI: | 1710150180 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PERRY | ||||||||
| FirstName: | DENISE | ||||||||
| MiddleName: | LAFERRIERE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 714 BREEZY HILL RD | ||||||||
| Address2: | |||||||||
| City: | ST JOHNSBURY | ||||||||
| State: | VT | ||||||||
| PostalCode: | 058198882 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027485126 | ||||||||
| FaxNumber: | 8027481107 | ||||||||
| Practice Location | |||||||||
| Address1: | 714 BREEZY HILL RD | ||||||||
| Address2: | |||||||||
| City: | ST JOHNSBURY | ||||||||
| State: | VT | ||||||||
| PostalCode: | 058198882 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8027485126 | ||||||||
| FaxNumber: | 8027481107 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/08/2008 | ||||||||
| LastUpdateDate: | 04/08/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | VT | Y | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.