Individual
MS. TERRY MITCHELL CHARONNAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
744 52ND ST, SUITE 4200, OAKLAND, CA 94609-1810
(510) 658-3277
(877) 769-9966
Mailing address
PO BOX 5538, BERKELEY, CA 94705-0538
(510) 658-3277
(877) 769-9966
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU 508
CA
237600000X
Audiologist-Hearing Aid Fitter
HA 1980
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU000508003
—
CA
01
—
ZZZ15159Z
MEDICARE (INACTIVE)
—
Enumeration date
09/09/2008
Last updated
02/11/2022
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