| NPI | 1083225601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA MARIE MCCORMACK Owner/Clinical Audiologist 636-390-6020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-27 |