Provider Demographics
NPI:1174797583
Name:MERCHANT, DONNA M (AUD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:M
Last Name:MERCHANT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1673 ROUTE 88 W
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3050
Mailing Address - Country:US
Mailing Address - Phone:732-458-5050
Mailing Address - Fax:732-458-5723
Practice Address - Street 1:1673 ROUTE 88 W
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3050
Practice Address - Country:US
Practice Address - Phone:732-458-5050
Practice Address - Fax:732-458-5723
Is Sole Proprietor?:No
Enumeration Date:2008-04-16
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
R31200Medicare UPIN