Provider Demographics
NPI:1811053382
Name:ALBAUGH, DEBORAH J (MA CCC-A)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:J
Last Name:ALBAUGH
Suffix:
Gender:F
Credentials:MA CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1598 SANDIFER BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:SENECA
Mailing Address - State:SC
Mailing Address - Zip Code:29678-0929
Mailing Address - Country:US
Mailing Address - Phone:864-882-7968
Mailing Address - Fax:864-882-7970
Practice Address - Street 1:1598 SANDIFER BLVD STE D
Practice Address - Street 2:
Practice Address - City:SENECA
Practice Address - State:SC
Practice Address - Zip Code:29678-0929
Practice Address - Country:US
Practice Address - Phone:864-882-7968
Practice Address - Fax:864-882-7970
Is Sole Proprietor?:No
Enumeration Date:2006-12-29
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000472L231H00000X, 231HA2500X, 237600000X
SC4206231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1535171OtherGATEWAY
PA23159199OtherHEALTH AMERICA AVANTRA
PAAL246996OtherHIGHMARK BLUES
PAP00001351OtherRR MEDICARE
PA1345168OtherHIGHMARK INSURANCE
PA7569260OtherAETNA PPO
PA2686767OtherAETNA HMO
PA319584OtherUPMC HEALTH CARE
PA23159199OtherHEALTH AMERICA AVANTRA