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Organization

GOOD SOUND AUDIOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TINA JANEEN JESSEE AU D (OWNER AUDIOLOGIST)
(480) 497-0780
Entity
Organization

Contact information

Practice address
201 W GUADALUPE RD, SUITE 315, GILBERT, AZ 85233-3332
(480) 497-0780
(480) 497-0790
Mailing address
201 W GUADALUPE RD, SUITE 315, GILBERT, AZ 85233-3332
(480) 497-0780
(480) 497-0790

Taxonomy

Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
DA0060
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2892231
AETNA ID NUMBER
AZ
01
2Z4495
HEALTHNET ID NUMBER
AZ
05
981622
AZ
01
AZ0902910
BCBS ID NUMBER
AZ
Enumeration date
11/21/2006
Last updated
08/22/2020
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