Organization · Type 2 NPI

San Diego State University

Audiologist-Hearing Aid Fitter · San Diego, CA

NPI number 1972964468 Active

Practice location

5500 Campanile Dr
San Diego, CA 92182-1518

Fax (619) 594-5917

Specialties and licenses

Taxonomy	Code	License
Speech-Language Pathologist	235Z00000X	None listed
Audiologist-Hearing Aid Fitter Primary	237600000X	None listed

Audiologist-Hearing Aid Fitter: 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's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classific…

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NPI record

NPI: 1972964468
Entity type: Organization (Type 2)
Issued: Mar 11, 2016
Last updated: Mar 11, 2016
Status: Active
Subpart: Yes of San Diego State University

Other names

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San Diego State University Speech, Language and Hearing Clinic · other name

Authorized official

Agnes Wong Nickerson
Associate VP of Financial Operation
(619) 594-6017

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972964468

San Diego State University's National Provider Identifier is 1972964468, issued on Mar 11, 2016. The primary taxonomy on file is Audiologist-Hearing Aid Fitter (237600000X), and the practice location is in San Diego, CA. The record was last updated on Mar 11, 2016.