MRS. Kimberly Rose Hetterich, AU.D., CCC-A
NPI #1659682276 in Port Jefferson, New York
Provider Information
- NPI Number
- 1659682276
- Entity Type
- Individual
- Name
- MRS. Kimberly Rose Hetterich, AU.D., CCC-A
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Audiologist
- Credential
- AU.D., CCC-A
- Enumeration Date
- Jun 29, 2010
- Last Updated
- Jul 12, 2011
Practice Location
- Address
- 251 E OAKLAND AVE
- City
- Port Jefferson
- State
- New York
- ZIP Code
- 11777-2602
- Phone
- (631) 928-0188
Specialties & Taxonomy Codes
| Specialty |
|---|
| Audiologist |
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