Individual
TERRY L. HERGESHEIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
111 S 13TH ST, MOUNT VERNON, WA 98274-4105
(360) 336-2178
Mailing address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 336-2178
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
LD00004700
WA
237600000X
Audiologist-Hearing Aid Fitter
LD00004700
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD00004700
STATE LICENSE
WA
Enumeration date
12/18/2007
Last updated
08/10/2020
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