Arizona State University

NPI #1063883924 in Tempe, Arizona

Provider Information

NPI Number: 1063883924
Entity Type: Organization
Organization Name: Arizona State University
Primary Specialty: Audiologist
Enumeration Date: Oct 16, 2015
Last Updated: Oct 30, 2015

Practice Location

Address: 975 S. MYRTLE AVENUE
Address 2: COOR HALL 2211
City: Tempe
State: Arizona
ZIP Code: 85281
Phone: (480) 965-2373

Authorized Official

Name: DR. INGRID MCBRIDE
Title: DIRECTOR OF AUDIOLOGY
Phone: (480) 965-2373

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary

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