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NPI Code Detail

MEDICARE: MARY K. WESTBROOK, D.B.A. LISTENING ADVANTAGE

MEDICARE: MARY K. WESTBROOK, D.B.A. LISTENING ADVANTAGE
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
1231H00000XAudiologist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942517826
Entity Type Code : Organization
Provider Name (Legal Business Name) : MARY K. WESTBROOK, D.B.A. LISTENING ADVANTAGE
Provider Business Mailing Address
First Line : 24551 DETROIT RD
Second Line : SUITE 3
City : WESTLAKE
State : OH
Zip : 44145-2592
Country : US
Telephone Number : 440-835-9612
Fax Number : 440-835-9629
Provider Business Practice Location Address
First Line : 24551 DETROIT RD
Second Line : SUITE 3
City : WESTLAKE
State : OH
Zip : 44145-2592
Country : US
Telephone Number : 440-835-9612
Fax Number : 440-835-9629
Authorized Official
Title or Position : OWNER
Name : MARY K. WESTBROOK
Credential :
Telephone Number : 440-835-9612
Provider Enumeration Date : 09/13/2010
Last Update Date : 09/13/2010

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