Provider Demographics
NPI:1770838013
Name:TERBRUEGGEN, DANIEL P (HAS, BC-HIS)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:P
Last Name:TERBRUEGGEN
Suffix:
Gender:M
Credentials:HAS, BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3399 WEDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32162-7180
Mailing Address - Country:US
Mailing Address - Phone:352-259-8070
Mailing Address - Fax:352-205-7619
Practice Address - Street 1:3399 WEDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32162-7180
Practice Address - Country:US
Practice Address - Phone:352-259-8070
Practice Address - Fax:352-205-7619
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2019-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS4798237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist