# ADVANCED HEARING AND SPEECH INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376715862
- **Authorized official:** MRS. ANITA RAE GANTRY-DOTSON MSSLP/A,CCC (PRESIDENT)
- **Authorized official phone:** (360) 740-8992

## Contact information

- **Practice address:** 1570 N NATIONAL AVE, SUITE 101, CHEHALIS, WA 98532-2215
- **Practice address phone:** (360) 740-8992
- **Practice address fax:** (360) 740-8993
- **Mailing address:** PO BOX 148, SALKUM, WA 98582-0148
- **Mailing address phone:** (360) 740-8992
- **Mailing address fax:** (360) 740-8993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | — | Yes |
| 235Z00000X | Speech-Language Pathologist | — | — | — |
| 332S00000X | Hearing Aid Equipment | — | — | — |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 03/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 7035900 | MEDICAID, SPEECH | — |
| 05 | — | 7126261 | — | WA |
| 01 | — | 8806567 | PERSONAL NUMBER | — |
| 01 | — | 9060328 | HEARING AID | — |