Provider Demographics
NPI:1063802171
Name:MUIR, DEBI ANN
Entity type:Individual
Prefix:MRS
First Name:DEBI
Middle Name:ANN
Last Name:MUIR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72655 HIGHWAY 111
Mailing Address - Street 2:SUITE B-3
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3307
Mailing Address - Country:US
Mailing Address - Phone:760-340-9082
Mailing Address - Fax:760-340-5905
Practice Address - Street 1:72655 HIGHWAY 111
Practice Address - Street 2:B-3
Practice Address - City:PALM DESERT
Practice Address - State:CA
Practice Address - Zip Code:92260-3307
Practice Address - Country:US
Practice Address - Phone:760-340-9082
Practice Address - Fax:760-340-5905
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-27
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3396237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist