Individual
MARY ANN PITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
26302 LA PAZ RD, SUITE 107, MISSION VIEJO, CA 92691-5313
(949) 855-7898
(949) 855-1074
Mailing address
16 S PORTOLA, LAGUNA BEACH, CA 92651-6719
(949) 415-1147
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU 1486
CA
237600000X
Audiologist-Hearing Aid Fitter
Primary
HA3115
CA
Other
Enumeration date
03/26/2007
Last updated
10/13/2015
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