Individual
SARA BETH HARNACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1753 W RIDGEWAY AVE, SUITE 111, WATERLOO, IA 50701-4588
(319) 833-5970
(319) 833-5971
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 287-9249
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
00467
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0487157
—
IA
Enumeration date
10/10/2006
Last updated
09/07/2007
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