| Doctor Name: | THOMAS ALAN WISE |
| NPI Number: | 1194155325 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | AU.D. |
| License Number: | AU 2930 |
| Business Practice Address: | 9033 Baseline Rd Suite F Rancho Cucamonga, CA - 917301255 |
| Business Phone Number: | 9099894800 |
| Business Fax Number: | 9099894883 |
| Mailing Address: | 9033 Baseline Rd, Suite F RANCHO CUCAMONGA |
| State: | CA |
| Postal Code: | 917301255 |
| Phone Number: | 9099894800 |
| Fax Number: | 9099894883 |
| NPI Enumeration Date: | 11/25/2013 |
| NPI Last Update Date: | 11/25/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237600000X |
| License Number: | AU 2930 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |