| NPI | 1508100835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLENDA DERAMUS Owner 334-262-7553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist (Licence: AL 11284) |
| Additional Taxonomies | 231H00000X Audiologist |
| 235Z00000X Speech-Language Pathologist, (Licence: AL 1051A) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: AL 4136) | |
| 237700000X Hearing Instrument Specialist (Licence: MS HA0593) | |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2012-11-27 |