# MARY E SOSTARICH

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

## Provider details

- **NPI number:** 1699783779
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 640 | KS | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 771 | KS | — |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 11/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 014010003 | MEDICARE PTAN | KS |
| 05 | — | 100228600B | — | KS |