Organization
PROFESSIONAL HEARING SOLUTIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY MARTINO AUDIOLOGIST (OWNER/AUDIOLOGIST)
(719) 671-6674
Entity
Organization
Contact information
Practice address
184 S TIFFANY DR, SUITE 108, PUEBLO WEST, CO 81007-3583
(719) 671-6674
(719) 647-0262
Mailing address
184 S TIFFANY DR, SUITE 108, PUEBLO WEST, CO 81007-3583
(719) 671-6674
(719) 647-0262
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
16
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
14634864
—
CO
01
—
16
CO STATE LICENSE
CO
Enumeration date
05/13/2008
Last updated
02/08/2011
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