Individual
TALISA BLOUNT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1301 W PROVIDENCE AVE, ORANGE, CA 92868-3808
(714) 639-4990
Mailing address
9371 ALDERBURY ST, CYPRESS, CA 90630-2806
(714) 995-2128
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
AU2153
CA
231HA2400X
Assistive Technology Practitioner Audiologist
Primary
HA4112
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0021530
—
CA
Enumeration date
01/04/2006
Last updated
09/11/2025
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