Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Theresa S Delacenserie

Individual provider Audiologist · NPI 1477585479

Theresa S Delacenserie is a Qualified Audiologist in Wyoming, Michigan. Qualified in 2004, 22 years ago. Practices with Michigan Ear Nose Throat and Allergy Specialists PC, a 42-clinician group and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
22
Licensed in
IL, MI
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1555 44th St SW
Wyoming, MI 49509-4313
Phone: (616) 888-3240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Audiologist (primary) Taxonomy 231H00000X · Licence 1601001097 (MI)
Audiologist Taxonomy 231H00000X · Licence 147001192 (IL)

Record details

NPI number1477585479
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 7, 2006
Last updated in NPPESJune 26, 2024
Certification dateJune 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyQUALIFIED AUDIOLOGIST
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Michigan Ear Nose Throat And Allergy Specialists Pc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Wyoming