| NPI | 1104135359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J ALBAUGH Certified Audiologist 304-905-9316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: WV A0271) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: PA AT000472L) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2011-10-24 |