Individual
ELLYN HOUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCCC-A
Contact information
Practice address
210 LINCOLN SSTREET, SAN LUIS OBISPO, CA 93405
(970) 209-3030
Mailing address
210 LINCOLN SSTREET, SAN LUIS OBISPO, CA 93405
(970) 209-3030
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AU 2956
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU 2956
CALIFORNIA AUDIOLOGY LICENSE
CA
01
—
HTL 9126
HEARING AID DISPENSING LICENSE
CA
Enumeration date
01/22/2008
Last updated
05/14/2014
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