Organization
MILLENNIUM HEARING SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA MARIE MULVEY AUD (DOCTOR OF AUDIOLOGY, PRESIDENT)
(707) 542-1154
Entity
Organization
Contact information
Practice address
4725 HOEN AVE, SUITE B, SANTA ROSA, CA 95405-7862
(707) 542-1154
(707) 542-4818
Mailing address
4725 HOEN AVE, SUITE B, SANTA ROSA, CA 95405-7862
(707) 542-1154
(707) 542-4818
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU1683
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0016830
—
CA
01
—
ZZZ229512Y
MEDICARE PTAN
—
Enumeration date
04/01/2009
Last updated
04/01/2009
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