Provider Demographics
NPI:1194385492
Name:DUNCAN, DARRELL E (HAD HA 8385)
Entity Type:Individual
Prefix:
First Name:DARRELL
Middle Name:E
Last Name:DUNCAN
Suffix:
Gender:M
Credentials:HAD HA 8385
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6936
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93539-6936
Mailing Address - Country:US
Mailing Address - Phone:661-860-7259
Mailing Address - Fax:
Practice Address - Street 1:43845 10TH ST W STE 1B
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4800
Practice Address - Country:US
Practice Address - Phone:661-480-6443
Practice Address - Fax:661-438-1811
Is Sole Proprietor?:No
Enumeration Date:2019-06-18
Last Update Date:2019-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8385237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist