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NPI Code Detail

MEDICARE: MS. SHERIDAN LOIS PYLE M.A., CCC-A

MEDICARE:  MS. SHERIDAN LOIS PYLE  M.A., CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237600000XAudiologist-Hearing Aid FitterAU 389, HA 2288CA

General Provider Information

NPI Number : 1336327816
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHERIDAN LOIS PYLE M.A., CCC-A
Provider Business Mailing Address
First Line : 2602 MAINWAY DR
Second Line :
City : ROSSMOOR
State : CA
Zip : 90720-4723
Country : US
Telephone Number : 562-598-7989
Fax Number :
Provider Business Practice Location Address
First Line : 2925 PALO VERDE AVE
Second Line : 2ND FLOOR
City : LONG BEACH
State : CA
Zip : 90815-1552
Country : US
Telephone Number : 562-598-7989
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2008
Last Update Date : 02/06/2008

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Directions to “ MS. SHERIDAN LOIS PYLE M.A., CCC-A” Practice Location

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