Individual
DR. COLLEEN MORYL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
437 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-3603
(310) 274-2148
(310) 274-4431
Mailing address
437 S ROBERTSON BLVD, BEVERLY HILLS, CA 90211-3603
(310) 274-2148
(310) 274-4431
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1307 & HA2975
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GAU000170
—
CA
01
—
ZZZ56101Z
BLUE SHIELD
CA
Enumeration date
04/19/2007
Last updated
10/09/2007
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