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NPI Code Detail

MEDICARE: AUDIOLOGIST TEMP SERVICES

MEDICARE: AUDIOLOGIST TEMP SERVICES
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
1231H00000XAudiologistAT005992PA

General Provider Information

NPI Number : 1437405636
Entity Type Code : Organization
Provider Name (Legal Business Name) : AUDIOLOGIST TEMP SERVICES
Provider Business Mailing Address
First Line : 1304 N HIGHLAND AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15206-1677
Country : US
Telephone Number : 412-521-4019
Fax Number :
Provider Business Practice Location Address
First Line : 521 GREENFIELD AVE
Second Line : SUITE 5
City : PITTSBURGH
State : PA
Zip : 15207-1091
Country : US
Telephone Number : 412-521-4019
Fax Number :
Authorized Official
Title or Position : DOCTOR OF AUDIOLOGY
Name : DR. GAIL KIRKPATRICK LESOON
Credential : AU.D.
Telephone Number : 412-521-4041
Provider Enumeration Date : 07/25/2012
Last Update Date : 07/25/2012

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Directions to “AUDIOLOGIST TEMP SERVICES ” Practice Location

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