NPI | 1144667023 |
---|---|
Former Name | WHITNEY ALYSSA MAST |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: AZ DA14041) |
Additional Taxonomies | 231H00000X Audiologist |
2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ 8332) | |
Enumeration Date | 2013-05-31 |
Last Update Date | 2023-02-15 |