MEDICARE: DR. SARAH ERVIN MOUSER AU.D., CCC-A

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	5705	NC

General Provider Information

NPI Number	:	1811018906
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SARAH ERVIN MOUSER AU.D., CCC-A

Provider Business Mailing Address
First Line	:	106 FARM BROOK DR
Second Line	:	STE B
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2178
Country	:	US
Telephone Number	:	910-738-4856
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 FARM BROOK DR
Second Line	:	STE B
City	:	LUMBERTON
State	:	NC
Zip	:	28358-2178
Country	:	US
Telephone Number	:	910-738-4856
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	03/06/2015

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