Provider Demographics
NPI:1487157632
Name:WATKINS, DEBORAH SUZANNE (HEARING AID SPECIALI)
Entity type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:SUZANNE
Last Name:WATKINS
Suffix:
Gender:F
Credentials:HEARING AID SPECIALI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44630 MONTEREY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92260-3326
Mailing Address - Country:US
Mailing Address - Phone:760-340-4290
Mailing Address - Fax:
Practice Address - Street 1:80150 HWY 111
Practice Address - Street 2:SUITE C-2
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201-9220
Practice Address - Country:US
Practice Address - Phone:760-863-5900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-14
Last Update Date:2018-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA8217237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist