Doctor Name: | MS. MARY JO STILES |
NPI Number: | 1417204066 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | HAS, BC-HIS |
License Number: | AS3550 |
Business Practice Address: | 4400 Hwy, 20 East Suite # 211 Niceville, FL - 32578 |
Business Phone Number: | 8502794545 |
Business Fax Number: | 8502794546 |
Mailing Address: | 4400 Hwy, 20 East, Suite # 211 NICEVILLE |
State: | FL |
Postal Code: | 32578 |
Phone Number: | 8502794545 |
Fax Number: | 8502794546 |
NPI Enumeration Date: | 08/13/2012 |
NPI Last Update Date: | 08/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | AS3550 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |