Doctor Name: | MALLORY FAUST |
NPI Number: | 1548600455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | AY1794 |
Business Practice Address: | 141 Mack Bayou Loop Ste 202 Santa Rosa Beach, FL - 324597194 |
Business Phone Number: | 8506220996 |
Business Fax Number: | 8506221185 |
Mailing Address: | 141 Mack Bayou Loop Ste 202, SANTA ROSA BEACH |
State: | FL |
Postal Code: | 324597194 |
Phone Number: | 8506220996 |
Fax Number: | 8506221185 |
NPI Enumeration Date: | 06/25/2013 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237600000X |
License Number: | AY1794 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |