Provider Demographics
NPI:1225246259
Name:DAPONTES, DEBRA S (AUD, CCC-A)
Entity Type:Individual
Prefix:
First Name:DEBRA
Middle Name:S
Last Name:DAPONTES
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 QUAKERBRIDGE PLAZA
Mailing Address - Street 2:
Mailing Address - City:HAMILTON TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08619
Mailing Address - Country:US
Mailing Address - Phone:609-890-1726
Mailing Address - Fax:609-890-6148
Practice Address - Street 1:8 QUAKERBRIDGE PLAZA
Practice Address - Street 2:
Practice Address - City:HAMILTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08619
Practice Address - Country:US
Practice Address - Phone:609-890-1726
Practice Address - Fax:609-890-6148
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2009-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00015300231H00000X
PAAT000290L231H00000X
NJ25MG00055200237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist