Dr. Derek Jason Stiles, PhD
Audiologist in Boston, MA. Individual provider (NPI-1).
NPI number1750436150
StatusActive
Last updated in NPPESJul 9, 2018
Details
- NPI
- 1750436150
- Entity type
- Individual (NPI-1)
- Name
- Dr. Derek Jason Stiles
- Credential
- PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 147.001329 | IL | Yes |
| 231H00000X | Audiologist | 2119 | CA |
Practice location
333 Longwood AveThird Floor
Boston, MA 02115
Phone 617-355-6461 · Fax 312-942-7068
Mailing address
333 Longwood AveThird Floor
Boston, MA 02115
Phone 617-355-6461 · Fax 312-942-7068
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