Provider Demographics
NPI:1376874545
Name:DEHLER, MICHAEL T (BS, HAS, BC-HIS, ACA)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:T
Last Name:DEHLER
Suffix:
Gender:M
Credentials:BS, HAS, BC-HIS, ACA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 W GRANADA BLVD
Mailing Address - Street 2:
Mailing Address - City:ORMOND BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32174-5913
Mailing Address - Country:US
Mailing Address - Phone:386-672-9993
Mailing Address - Fax:
Practice Address - Street 1:1130 W GRANADA BLVD
Practice Address - Street 2:
Practice Address - City:ORMOND BEACH
Practice Address - State:FL
Practice Address - Zip Code:32174-5913
Practice Address - Country:US
Practice Address - Phone:386-672-9993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS3297237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist