Provider Demographics
NPI:1649445305
Name:HALE, DEBORAH IRENE (MA, CCC-A)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:IRENE
Last Name:HALE
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:DEBORAH
Other - Middle Name:IRENE
Other - Last Name:SPILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1105 SIXTH ST
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49684-2345
Mailing Address - Country:US
Mailing Address - Phone:231-935-6455
Mailing Address - Fax:231-935-6646
Practice Address - Street 1:1105 SIXTH ST STE 103
Practice Address - Street 2:
Practice Address - City:TRAVERSE CITY
Practice Address - State:MI
Practice Address - Zip Code:49684
Practice Address - Country:US
Practice Address - Phone:231-935-6455
Practice Address - Fax:231-935-6646
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003698231H00000X
237600000X, 237700000X
MI1601000549231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist