Organization
AUDIOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DUNDAS MA (AUDIOLOGIST)
(415) 461-9770
Entity
Organization
Contact information
Practice address
1000 S ELISEO DR, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744
Mailing address
1000 S ELISEO DR, GREENBRAE, CA 94904-2133
(415) 461-9770
(415) 461-6744
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU351
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU351
STATE LICENSE
CA
01
—
HA1986
STATE LICENSE
CA
Enumeration date
04/17/2007
Last updated
09/16/2009
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