Individual provider · Type 1 NPI
Eliza S. Petersen, AUD, CCCA
Audiologist · Driggs, ID
Practice location
2740 Shadowmoon Ln Ste 417
Driggs, ID 83422-5083
Fax (877) 515-1633
Mailing address
1388 Mount Moriah Rd
Livermore, CO 80536-9311
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist | 231H00000X | A-974 (WY) |
| Audiologist Primary | 231H00000X | AUD-1142 (ID) |
Audiologist: (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit…
About NPI 1083750996
Eliza S. Petersen, AUD, CCCA's National Provider Identifier is 1083750996, issued on Jan 29, 2007. The primary taxonomy on file is Audiologist (231H00000X), and the practice location is in Driggs, ID. The record was last updated on Apr 19, 2023.