NPI | 1053799528 |
---|---|
Former Name | JESSICA ANN LEVENSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: MD 01353) |
Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: MD 01353) |
237600000X Audiologist-Hearing Aid Fitter (Licence: MD 01353) | |
Enumeration Date | 2015-05-15 |
Last Update Date | 2018-12-28 |