Provider Demographics
NPI:1861834517
Name:BASHORE, DEBORAH J
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:J
Last Name:BASHORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1560 LITITZ PIKE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17601-6523
Mailing Address - Country:US
Mailing Address - Phone:717-397-4927
Mailing Address - Fax:717-394-7088
Practice Address - Street 1:1560 LITITZ PIKE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-6523
Practice Address - Country:US
Practice Address - Phone:717-397-4927
Practice Address - Fax:717-394-7088
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAF02423237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist