Individual provider · NPI-1

Virginia Acosta, Au.D.

Audiologist · Memphis, TN

NPI number1629635040
StatusActive
Last updated in NPPESMay 21, 2019

Details

NPI
1629635040
Entity type
Individual (NPI-1)
Name
Virginia Acosta
Credential
Au.D.
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2019
Last updated
May 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
231H00000X Audiologist––Yes

Practice location

1030 Jefferson Ave # 112h
Memphis, TN 38104-2127

Phone 901-523-8990

Mailing address

1030 Jefferson Ave # 112h
Memphis, TN 38104-2127

Phone 901-523-8990

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