Provider Demographics
NPI:1073523619
Name:NEMEROFF, GLORIA B (AUD)
Entity Type:Individual
Prefix:
First Name:GLORIA
Middle Name:B
Last Name:NEMEROFF
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5420 DASHWOOD DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-5357
Mailing Address - Country:US
Mailing Address - Phone:713-512-1267
Mailing Address - Fax:713-512-1199
Practice Address - Street 1:5420 DASHWOOD DR
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-5357
Practice Address - Country:US
Practice Address - Phone:713-512-1267
Practice Address - Fax:713-512-1199
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2011-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50351237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4671083001OtherCIGNA HMO
TX7643487OtherAETNA
TX528342OtherBCBS
TX10021443OtherAMERIGROUP
TX530948OtherHMO BLUE
TX530948OtherHMO BLUE
TX7643487OtherAETNA