Doctor Name: | STACEY T FONG |
NPI Number: | 1801832894 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | HA7005 |
Business Practice Address: | 44407 10th St W Lancaster, CA - 935343345 |
Business Phone Number: | 6619427030 |
Business Fax Number: | 6619420784 |
Mailing Address: | 5000 Cheshire Pkwy N, PLYMOUTH |
State: | MN |
Postal Code: | 554464103 |
Phone Number: | 8885100766 |
Fax Number: | 7632684017 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 06/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237700000X |
License Number: | HA7005 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
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 |