Provider Demographics
NPI:1255389458
Name:DURAND, CAREY C (AUD, FAAA)
Entity type:Individual
Prefix:DR
First Name:CAREY
Middle Name:C
Last Name:DURAND
Suffix:
Gender:F
Credentials:AUD, FAAA
Other - Prefix:MS
Other - First Name:CAREY
Other - Middle Name:A
Other - Last Name:CLARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:4056 WILSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4515
Mailing Address - Country:US
Mailing Address - Phone:717-600-2840
Mailing Address - Fax:
Practice Address - Street 1:1776 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-4628
Practice Address - Country:US
Practice Address - Phone:717-845-6321
Practice Address - Fax:717-845-6320
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-001025-L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001712748 0001Medicaid
PAAT-001025-LOtherPA STATE LICENSE
PAAT-001025-LOtherPA STATE LICENSE
PA019261Medicare ID - Type Unspecified