Provider Demographics
NPI:1134166044
Name:D'AURORA, CAROLINE R (MA, CCC-A)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:R
Last Name:D'AURORA
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:L
Other - Last Name:RUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-A
Mailing Address - Street 1:8279 ROUTE 22 STE 11
Mailing Address - Street 2:
Mailing Address - City:NEW ALEXANDRIA
Mailing Address - State:PA
Mailing Address - Zip Code:15670-3155
Mailing Address - Country:US
Mailing Address - Phone:724-668-5091
Mailing Address - Fax:
Practice Address - Street 1:8279 ROUTE 22 STE 11
Practice Address - Street 2:
Practice Address - City:NEW ALEXANDRIA
Practice Address - State:PA
Practice Address - Zip Code:15670-3155
Practice Address - Country:US
Practice Address - Phone:724-668-5091
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-31
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000525231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA203987OtherHIGHMARK
PA203987QPYMedicaid
PA203987QPYMedicaid