MEDICARE: WHITNEY ALYSSA CASPER AUD

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
1	231H00000X	Audiologist		CA
2	2355S0801X	Speech-Language Assistant	8332	AZ
3	231H00000X	Audiologist	DA14041	AZ

General Provider Information

NPI Number	:	1144667023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WHITNEY ALYSSA CASPER AUD

Provider Business Mailing Address
First Line	:	20745 N SCOTTSDALE RD STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6595
Country	:	US
Telephone Number	:	480-534-4525
Fax Number	:	480-882-5051

Provider Business Practice Location Address
First Line	:	20745 N SCOTTSDALE RD STE 105
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85255-6595
Country	:	US
Telephone Number	:	480-534-4525
Fax Number	:	480-882-5051

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2013
Last Update Date	:	02/15/2023

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Directions to “ WHITNEY ALYSSA CASPER AUD” Practice Location

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