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Individual

MS. LAURIE K WHITE BEDIENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC/A

Contact information

Practice address
207 FOOTE AVE, JAMESTOWN, NY 14701-7077
(716) 664-8194
(716) 664-8418
Mailing address
PO BOX 840, JAMESTOWN, NY 14702-0840
(716) 664-8194
(716) 664-8418

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000699-1
NY
237600000X
Audiologist-Hearing Aid Fitter
000699-1
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000699-1
NYS AUDIOLOGIST'S LICENSE
NY
01
14000011744
NYS HEARING AID DISPENSER
NY
Enumeration date
08/05/2008
Last updated
08/05/2008
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