Organization
KAREN M SCOTT M A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED E. FULLER (MANAGER)
(805) 541-1790
Entity
Organization
Contact information
Practice address
3220 SOUTH HIGUERA STREET, STE. 320, SAN LUIS OBISPO, CA 93401-6987
(805) 541-1790
(805) 541-1793
Mailing address
3220 SOUTH HIGUERA STREET, STE. 320, SAN LUIS OBISPO, CA 93401-6987
(805) 541-1790
(805) 541-1793
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 158
CA
231H00000X
Audiologist
AU 2031
CA
237700000X
Hearing Instrument Specialist
HA 4180
CA
Other
Enumeration date
03/25/2009
Last updated
12/12/2011
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