| Doctor Name: | MS. MITTIE ANNA TOLLEFSON |
| NPI Number: | 1093837593 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BC-HIS |
| License Number: | HT8070 |
| Business Practice Address: | 100 Verde Valley School Rd Ste 105 Sedona, AZ - 863519053 |
| Business Phone Number: | 9282845200 |
| Business Fax Number: | 9282845201 |
| Mailing Address: | 215 Shuman Blvd, Ste 401 NAPERVILLE |
| State: | IL |
| Postal Code: | 605638458 |
| Phone Number: | 6303035380 |
| Fax Number: | 9783136824 |
| NPI Enumeration Date: | 04/04/2007 |
| NPI Last Update Date: | 03/17/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | HT8070 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| 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 |