Individual
DR. TERESE IRENE HUBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
6130 SOUTHARD TRCE, CUMMING, GA 30040-6475
(770) 781-2376
(770) 781-2377
Mailing address
4036 GROVE HILL CT, NORCROSS, GA 30092-1922
(770) 781-2376
(770) 781-2377
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003591
GA
231HA2400X
Assistive Technology Practitioner Audiologist
AUD003591
GA
231HA2500X
Assistive Technology Supplier Audiologist
AUD003591
GA
237600000X
Audiologist-Hearing Aid Fitter
AUD003591
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
614451647A
—
GA
05
—
614451647B
—
GA
Enumeration date
06/28/2006
Last updated
04/04/2013
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