Andrea Lynn Wallace in Stockton - Audiologist
Andrea Lynn Wallace - NPI 1396819884
Andrea Lynn Wallace is a Audiologist in Stockton, California. Andrea Lynn Wallace practices all healthcare services and medical treatments related to Audiologist. The NPI Number for Andrea Lynn Wallace is 1396819884. The last update date is 2022-02-11.
Andrea Lynn Wallace's current location address is 7373 West Ln, Stockton, California. You can contact this provider via phone number 2094763427 and fax number 2094763142. The mailing address for Andrea Lynn Wallace is 7373 West Ln, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Lynn Wallace |
|---|---|
| Address | 7373 West Ln, Stockton, California |
| Phone Number | 2094763427 |
| Fax Number | 2094763142 |
| Sole Proprietor | Y |
| Credentials | M.S. |
NPI Number Detail
| NPI Number | 1396819884 |
|---|---|
| Provider Enumeration Date | 2006-11-17 |
| Last Updated Date | 2022-02-11 |
Provider Mailing Address Detail
| Address | 7373 West Ln |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952103377 |
| Phone Number | 2094763427 |
| Fax Number | 2094763142 |
Provider's Primary Taxonomy Detail
| Speciality | Audiologist |
|---|---|
| Taxonomy | 231H00000X |
| Licence No | AU 2352 |
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Definition: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditor |
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Post Comment/ Review Below
What is the Andrea Lynn Wallace's unique identification number?
The Andrea Lynn Wallace has been assigned the NPI (National Provider Identifier) Number 1396819884 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Andrea Lynn Wallace?
The Andrea Lynn Wallace is situated at 7373 West Ln, in the city of Stockton, state of CA, with the zip code 952103377.
What is Andrea Lynn Wallace's specialized field of practice, and what is the corresponding taxonomy classification code?
The Andrea Lynn Wallace's area of specialization is Audiologist, and the corresponding taxonomy code that categorizes this field of practice is 231H00000X.
On what date did the Andrea Lynn Wallace receive its 1396819884 assignment from the Centers for Medicare & Medicaid Services?
The Andrea Lynn Wallace was assigned its 1396819884 by the Centers for Medicare & Medicaid Services on 2006-11-17.
As of what date was the information pertaining to Andrea Lynn Wallace, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Andrea Lynn Wallace, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-11.
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