Provider Demographics
NPI:1073519955
Name:ABEL, DEBRA JOAN (AUD)
Entity Type:Individual
Prefix:DR
First Name:DEBRA
Middle Name:JOAN
Last Name:ABEL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15525 POMERADO RD
Mailing Address - Street 2:E-1
Mailing Address - City:POWAY
Mailing Address - State:CA
Mailing Address - Zip Code:92064-2435
Mailing Address - Country:US
Mailing Address - Phone:858-618-1249
Mailing Address - Fax:858-618-1284
Practice Address - Street 1:15525 POMERADO RD
Practice Address - Street 2:E-1
Practice Address - City:POWAY
Practice Address - State:CA
Practice Address - Zip Code:92064-2435
Practice Address - Country:US
Practice Address - Phone:858-618-1249
Practice Address - Fax:858-618-1284
Is Sole Proprietor?:No
Enumeration Date:2005-06-24
Last Update Date:2014-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA--00248237600000X
CAAU 2412231H00000X, 231HA2500X, 231HA2400X
CAHA 7238237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
CABY396XMedicare PIN