Individual
SANDRA MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
5100 ADOLFO RD, CAMARILLO, CA 93012-6792
(805) 437-1380
(805) 389-4297
Mailing address
5100 ADOLFO RD, CAMARILLO, CA 93012-6792
(805) 437-1380
(805) 389-4297
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU2601
CA
231HA2400X
Assistive Technology Practitioner Audiologist
AU2601
CA
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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