Audrey Elizabeth Squire, MS LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000201 Issued in PA

Practice address

4701 Ogletown Stanton Rd
Suite 2200
Newark, DE 19713-2055

Phone

(302) 623-4593

NPI assigned

Sep 1, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1801263330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 OGLETOWN STANTON RD",
            "address_2": "SUITE 2200",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132055",
            "telephone_number": "302-623-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUIRE",
        "first_name": "AUDREY",
        "middle_name": "ELIZABETH",
        "credential": "MS LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "PA",
            "license": "GC000201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Genetic Counselor (M.S.) in Newark, DE
• Providers in Newark, DE by specialty
• Genetic Counselor (M.S.) in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.