# MR. DOUGLAS ELMO ANDERSEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1215095674
- **Gender:** Man
- **Credential:** MA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | AU 820 | CA | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | HA1944 | CA | — |

## Other

- **Enumeration date:** 12/05/2006
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | AU0008200 | — | CA |