Individual
MARIA TAFFONI HETLINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AU. D.
Contact information
Practice address
200 ARBOR LAKE DR STE 120, COLUMBIA, SC 29223-4516
(803) 457-8120
Mailing address
351 TAVISTOCK DR, MEDFORD, NJ 08055-9259
(609) 346-5391
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
25MG00098800
NJ
231H00000X
Audiologist
Primary
41YA00063200
NJ
231H00000X
Audiologist
AT005811
PA
Other
Enumeration date
09/19/2013
Last updated
09/19/2013
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