Individual
TEDD DENNIS SHURSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.,CCC.A
Contact information
Practice address
2316 W WHITENDALE AVE STE A, VISALIA, CA 93277-6131
(559) 625-8960
Mailing address
2316 W WHITENDALE AVE STE A, VISALIA, CA 93277-6131
(559) 625-8960
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU510
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZZZ82321Z
—
CA
Enumeration date
02/07/2007
Last updated
07/08/2007
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