Provider Demographics
NPI:1548402498
Name:DENNIS, VANESSA FAITH (HIS)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:FAITH
Last Name:DENNIS
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17316 COASTAL HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-6256
Mailing Address - Country:US
Mailing Address - Phone:302-644-2232
Mailing Address - Fax:302-644-2237
Practice Address - Street 1:17316 COASTAL HIGHWAY
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-6256
Practice Address - Country:US
Practice Address - Phone:302-644-2232
Practice Address - Fax:302-644-2237
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE03-0000228237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist