NPI 1497782577

Mary M. Whitaker, AUD

Practitioner Audiologist Pocatello, ID

Practice location

Address: 650 Memorial Drive Bldg 68, Pocatello, ID 83209-0001
Phone: (208) 282-2190
Mailing address: 1649 Glacier St, Pocatello, ID 83201-2261

Registered specialties

Audiologist Primary

Speech, Language and Hearing Service Providers Taxonomy 231H00000X Licence AUD1193 (ID)

Other Audiologist providers in Idaho →

Registry record

NPI: 1497782577
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Jun 2006
Record last updated: 9 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.