Individual
BRIDGET SHANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
1025 N COUNTRY CLUB DR STE 102, MESA, AZ 85201-3307
(480) 274-0506
(480) 274-0587
Mailing address
1025 N COUNTRY CLUB DRIVE, MESA, AZ 85201-3628
(480) 472-0509
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
DA10745
AZ
Other
Enumeration date
09/06/2017
Last updated
12/03/2018
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