Provider Demographics
NPI:1669858254
Name:DOERING, CLAIRE ELIZABETH (AUD)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ELIZABETH
Last Name:DOERING
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 MARSETT RD STE 3
Mailing Address - Street 2:
Mailing Address - City:SHELBURNE
Mailing Address - State:VT
Mailing Address - Zip Code:05482-7150
Mailing Address - Country:US
Mailing Address - Phone:802-922-9545
Mailing Address - Fax:802-922-9546
Practice Address - Street 1:144 BROADWAY STE 1
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1486
Practice Address - Country:US
Practice Address - Phone:518-891-0487
Practice Address - Fax:518-891-6718
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14000045717237600000X
NY002609231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter