Mallory Faust

NPI #1548600455 in Santa Rosa Beach, Florida

Provider Information

NPI Number: 1548600455
Entity Type: Individual
Name: Mallory Faust
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Audiologist
Enumeration Date: Jun 25, 2013
Last Updated: Jun 25, 2013

Practice Location

Address: 141 MACK BAYOU LOOP STE 202
City: Santa Rosa Beach
State: Florida
ZIP Code: 32459-7194
Phone: (850) 622-0996

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Audiologist	231H00000X	Primary
Audiologist-Hearing Aid Fitter	237600000X

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