Healthcare Provider Details

I. General information

NPI: 1740398908
Provider Name (Legal Business Name): PAMELA DYAS VAUTIER M.S.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 AIRPORT BLVD SUITE B-123
MOBILE AL
36608-6705
US

IV. Provider business mailing address

6701 AIRPORT BLVD SUITE B-123
MOBILE AL
36608-6705
US

V. Phone/Fax

Practice location:
  • Phone: 251-689-3241
  • Fax: 251-633-2463
Mailing address:
  • Phone: 251-689-3241
  • Fax: 251-633-2463

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number546A
License Number StateAL
# 2
Primary TaxonomyY
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number546A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: