Whalio Doctors

NPI 1457696957

Stacey Lynn Goben

Practitioner Hearing Instrument Specialist Waterloo, IA

Practice location

Address
3852 Hammond Ave, Waterloo, IA 50702-5618
Phone
(319) 235-4358
Fax
(319) 235-8061
Mailing address
131 Enterprise Rd, Johnstown, NY 12095-3326

Registered specialties

Hearing Instrument Specialist Primary
Speech, Language and Hearing Service Providers Taxonomy 237700000X Licence 000964 (IA)

Registry record

NPI
1457696957
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Dec 2012
Record last updated
10 Dec 2012

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.