Individual
MRS. MICHELLE ANN PILTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Contact information
Practice address
106 LYNCH CREEK WY, SUITE 9A, PETALUMA, CA 94954
(707) 762-0103
(707) 762-5174
Mailing address
1310 COMMERCE ST, SUITE B, PETALUMA, CA 94954-1469
(707) 778-7862
(707) 778-0969
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU897
CA
237600000X
Audiologist-Hearing Aid Fitter
HA3511
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AU 897
LICENSE NO.
CA
05
—
HA0035110
—
CA
01
—
HA3511
STATE OF CALIFORNIA HEARING AID LICENSING BOARD
CA
Enumeration date
02/16/2007
Last updated
07/22/2010
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