Doctor Name: | JERRI A MCMAHON |
NPI Number: | 1386725141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2009 |
Business Practice Address: | 5510 W Broadway Ave Ste 113 C Crystal, MN - 554283577 |
Business Phone Number: | 7635335722 |
Business Fax Number: | 7635335654 |
Mailing Address: | 5000 Cheshire Pkwy N, PLYMOUTH |
State: | MN |
Postal Code: | 554464103 |
Phone Number: | 7632684115 |
Fax Number: | 7632684017 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 2009 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |