Individual
MARY LOU YOCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
403 E ROSE ST, WALLA WALLA, WA 99362-1218
(509) 525-5759
(509) 525-1998
Mailing address
403 E ROSE ST, WALLA WALLA, WA 99362-1218
(509) 525-5759
(509) 525-1998
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
LD00003498
WA
237600000X
Audiologist-Hearing Aid Fitter
Primary
LD00003498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269988
—
OR
05
—
7055809
—
WA
05
—
8390478
—
WA
05
—
9092008
—
WA
Enumeration date
10/12/2006
Last updated
11/26/2007
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