| NPI | 1982238127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE BROUSSARD Doctor Of Audiology/Owner 239-997-8288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner |
| 231HA2500X Audiologist, Assistive Technology Supplier | |
| 237600000X Audiologist-Hearing Aid Fitter | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2020-02-26 |
| Last Update Date | 2022-02-16 |