Basic Information
Provider Information
NPI: 1689964728
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AULT
FirstName: DELBERT
MiddleName: F
NamePrefix:  
NameSuffix:  
Credential: AU.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 256 10TH AVE NE STE C
Address2:  
City: HICKORY
State: NC
PostalCode: 286013882
CountryCode: US
TelephoneNumber: 8283222183
FaxNumber: 8284854550
Practice Location
Address1: 304 10TH AVE NE
Address2:  
City: HICKORY
State: NC
PostalCode: 286013883
CountryCode: US
TelephoneNumber: 8283222183
FaxNumber: 8284854550
Other Information
ProviderEnumerationDate: 04/11/2011
LastUpdateDate: 04/11/2011
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
231H00000X9291NCY Speech, Language and Hearing Service ProvidersAudiologist 

No ID Information.


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