Individual provider · NPI-1

Amy E Haines, Au.D.

Audiologist · Mission Viejo, CA

NPI number1114105913
StatusActive
Last updated in NPPESFeb 4, 2008

Details

NPI
1114105913
Entity type
Individual (NPI-1)
Name
Mrs. Amy E Haines
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 4, 2008
Last updated
Feb 4, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X AudiologistAU1752CAYes

Practice location

27285 Las Ramblas
Suite 150
Mission Viejo, CA 92691-6325

Phone 800-675-5485 · Fax 949-348-0219

Mailing address

23 Calle La Espalda
San Clemente, CA 92673-7020

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