MEDICARE: DESERT SOUNDS AUDIOLOGY & HEARING AID SERVICES, LLC

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
1	231H00000X	Audiologist	DA1350	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1962407619	OTHER	AZ	NPI ENUMERATOR

General Provider Information

NPI Number	:	1417949363
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DESERT SOUNDS AUDIOLOGY & HEARING AID SERVICES, LLC

Provider Business Mailing Address
First Line	:	6124 E BROWN RD
Second Line	:	STE 102
City	:	MESA
State	:	AZ
Zip	:	85205-4959
Country	:	US
Telephone Number	:	480-497-3285
Fax Number	:	480-833-2513

Provider Business Practice Location Address
First Line	:	6124 E BROWN RD
Second Line	:	STE 102
City	:	MESA
State	:	AZ
Zip	:	85205-4959
Country	:	US
Telephone Number	:	480-497-3285
Fax Number	:	480-833-2513

Authorized Official
Title or Position	:	AUDIOLOGIST/OWNER
Name	:	MS. GABRIELLE SADOWSKY
Credential	:	M.S., CCC-A
Telephone Number	:	602-697-1988

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	08/22/2020

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