Amy S Bannerman, MA, CCC/A
Audiologist in Austin, TX. Individual provider (NPI-1).
NPI number1942472188
StatusActive
Last updated in NPPESMar 27, 2008
Details
- NPI
- 1942472188
- Entity type
- Individual (NPI-1)
- Name
- Amy S Bannerman
- Credential
- MA, CCC/A
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 27, 2008
- Last updated
- Mar 27, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 231H00000X | Audiologist | 51250 | TX | Yes |
Practice location
3705 Medical Pkwy#380
Austin, TX 78705-1019
Phone 512-380-4058
Mailing address
3705 Medical Pkwy#380
Austin, TX 78705-1019
Phone 512-380-4058
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