NPI 1336200534

Tia Marie Carroll, MSCCCA

Practitioner Audiologist-Hearing Aid Fitter San Francisco, CA

Practice location

Address: 4141 Geary Blvd 1st Floor, San Francisco, CA 94118-3109
Phone: (415) 833-8222
Fax: (415) 833-8444
Mailing address: 353 Rollins Rd, Burlingame, CA 94010-2842

Registered specialties

Audiologist-Hearing Aid Fitter Primary

Speech, Language and Hearing Service Providers Taxonomy 237600000X Licence CA AU 2367 (CA)

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Registry record

NPI: 1336200534
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.