Healthcare Provider Details

I. General information

NPI: 1972568178
Provider Name (Legal Business Name): JUDY WEINBERG A.C.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

Provider Other Name: JUDITH WEINBERG A.C.A.

II. Dates (important events)

Enumeration Date: 04/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1512 W BELL RD #5
PHOENIX AZ
85023-3466
US

IV. Provider business mailing address

4106 W HATCHER RD
PHOENIX AZ
85051-3247
US

V. Phone/Fax

Practice location:
  • Phone: 602-866-7082
  • Fax: 623-937-0395
Mailing address:
  • Phone: 602-714-3545
  • Fax: 623-937-0395

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number322
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number322
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: