# STEPHEN E MOCK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447340377
- **Gender:** Man
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | AT000199L | PA | — |
| 231H00000X | Audiologist | AT000199L | PA | Yes |
| 231HA2400X | Assistive Technology Practitioner Audiologist | AT000199L | PA | — |
| 231HA2500X | Assistive Technology Supplier Audiologist | AT000199L | PA | — |
| 237600000X | Audiologist-Hearing Aid Fitter | AT000199L | PA | — |
| 332S00000X | Hearing Aid Equipment | AT000199L | PA | — |

## Other

- **Enumeration date:** 10/13/2006
- **Last updated:** 01/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0012749680001 | — | PA |
| 01 | — | 282868 | BLUE SHIELD PROVIDER ID | PA |
| 01 | — | AT000199L | LICENSE NUMBER | PA |