Healthcare Provider Details

I. General information

NPI: 1720145642
Provider Name (Legal Business Name): MARY M HELWIG MA, AUD, CCCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1425 S MAIN ST
WALNUT CREEK CA
94596-5318
US

IV. Provider business mailing address

1351 SWALLOWTAIL RD
CONCORD CA
94521-4348
US

V. Phone/Fax

Practice location:
  • Phone: 925-295-4991
  • Fax: 925-295-5414
Mailing address:
  • Phone: 925-349-6754
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAU 721 AND HA1495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: