Individual
MRS. BEVERLY RUTH ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A.
Contact information
Practice address
1946 W MORTEN AVE, PHOENIX, AZ 85021-6977
(602) 336-6991
Mailing address
6250 E PERSHING AVE, SCOTTSDALE, AZ 85254-3841
(602) 336-6991
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD0009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
927337
AHCCCS
AZ
Enumeration date
02/06/2007
Last updated
07/08/2007
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