Doctor Name: | CARLY RILEY |
NPI Number: | 1639411499 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1385060 |
Business Practice Address: | 140 Corporate Dr Ste 1 Beaver Dam, WI - 539161281 |
Business Phone Number: | 9208879658 |
Business Fax Number: | |
Mailing Address: | 140 Corporate Dr Ste 1, BEAVER DAM |
State: | WI |
Postal Code: | 539161281 |
Phone Number: | 9208879658 |
Fax Number: | |
NPI Enumeration Date: | 03/20/2013 |
NPI Last Update Date: | 03/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | 1385060 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |