Judith M Attaway, MA
Individual provider Active NPI Audiologist · Arcadia, CA
NPI 1154595650 · NPPES record last updated Apr 15, 2008
Key facts
- NPI
- 1154595650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- AU817 (CA)
- Practice address
- 622 W Duarte Rd
Suite 105
Arcadia, CA 91007-7606 - Phone
- (626) 574-6921
- Fax
- (626) 574-9604
- NPI assigned
- Apr 15, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AU817 | CA | MD | Audiologist |
| HA1759 | CA | MD | Audiologist-Hearing Aid Fitter |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | AU817 | CA | Yes |
| Audiologist-Hearing Aid Fitter | 237600000X | HA1759 | CA |
Addresses
Primary practice location
622 W Duarte Rd
Suite 105
Arcadia, CA 91007-7606
Mailing address
13482 Garcia Ave
Chino, CA 91710-7308
Phone (909) 450-0304
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.