Organization
JACQUELINE HARTMAN INC
Active
Other names
Ellisville Hearing Center and Hearing Center of Kirkwood
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACQUELINE SCOTT HARTMAN M.A.,CCC (PRESIDENT)
(636) 394-4240
Entity
Organization
Contact information
Practice address
15991 MANCHESTER RD, ELLISVILLE, MO 63011-2140
(636) 394-4240
Mailing address
15991 MANCHESTER RD, ELLISVILLE, MO 63011-2140
(636) 394-4240
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
536
MO
231HA2400X
Assistive Technology Practitioner Audiologist
536
MO
231HA2500X
Assistive Technology Supplier Audiologist
536
MO
235Z00000X
Speech-Language Pathologist
536
MO
237600000X
Audiologist-Hearing Aid Fitter
Primary
536
MO
237700000X
Hearing Instrument Specialist
624
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
337894109
—
MO
Enumeration date
01/31/2007
Last updated
06/04/2010
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