Doctor Name: | ALICIA PETERSON |
NPI Number: | 1063875193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | H.I.S |
License Number: | 1474 |
Business Practice Address: | 2537 Milton Ave Janesville, WI - 535450441 |
Business Phone Number: | 6087570123 |
Business Fax Number: | |
Mailing Address: | 1802 Galloway St, EAU CLAIRE |
State: | WI |
Postal Code: | 547033467 |
Phone Number: | 7158318966 |
Fax Number: | |
NPI Enumeration Date: | 04/05/2016 |
NPI Last Update Date: | 04/05/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 1474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Hearing Instrument Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |