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NPI Code Detail

MEDICARE: CINDY BETH PICHLER AU.D., CCC-A, FAAA

MEDICARE:   CINDY BETH PICHLER  AU.D., CCC-A, FAAA
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
1231H00000XAudiologist147-000039IL
2231H00000XAudiologistA-1937NV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13038OTHERILDSCC PROVIDER
2A-1937OTHERNVNEVADA SPEECH-LANGUAGE, AUDIOLOGY AND HEARING AID DISPENSER BOARD
3147-000039OTHERILPROFESSIONAL LICENSE
4CP62180299POTHERILEARLY INTERVENTION PROVID
501031665-02OTHERILASHA CERTIFICATION

General Provider Information

NPI Number : 1518005149
Entity Type Code : Individual
Provider Name (Legal Business Name) : CINDY BETH PICHLER AU.D., CCC-A, FAAA
Provider Business Mailing Address
First Line : 10650 SUFFOLK HILLS AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89129-3246
Country : US
Telephone Number : 847-636-8595
Fax Number :
Provider Business Practice Location Address
First Line : 1161 S VALLEY VIEW BLVD
Second Line : AUDIOLOGY
City : LAS VEGAS
State : NV
Zip : 89102-1854
Country : US
Telephone Number : 702-486-7670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2007
Last Update Date : 07/12/2016

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Directions to “ CINDY BETH PICHLER AU.D., CCC-A, FAAA” Practice Location

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