Organization
ADHEARENCE, LLC
Active
Other names
Central Auditory Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN EILEEN VAN WIE M.S., SLP-L, CCC/A (AUDIOLOGIST)
(602) 705-8705
Entity
Organization
Contact information
Practice address
6425 W CONSTANCE WAY, LAVEEN, AZ 85339-2798
(602) 705-8705
(602) 323-2241
Mailing address
6425 W CONSTANCE WAY, LAVEEN, AZ 85339-2798
(602) 705-8705
(602) 323-2241
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD5402
AZ
235Z00000X
Speech-Language Pathologist
SLPL4532
AZ
Other
Enumeration date
08/05/2008
Last updated
08/06/2008
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