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Dr. Eliza S. Petersen, AUD,CCCA
Audiologist in Driggs, Idaho
NPI 1083750996

Eliza S. Petersen is an Audiologist based in Livermore, ID. Eliza S. Petersen practices in Driggs, ID and has the professional credentials of AUD,CCCA. The NPI Number for Eliza S. Petersen is 1083750996 and holds a License No. A-974 (Idaho).

The current practice location address for Eliza S. Petersen is 2740 Shadowmoon Ln Ste 417, Driggs, ID and can be reached out via phone at 307-745-5587 and via fax at 877-515-1633.

Location: 2740 Shadowmoon Ln Ste 417, Driggs, ID, 80536-9311
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083750996
Provider Name
Eliza S. Petersen
Credential
AUD,CCCA
Provider Entity Type
Individual
Gender
Female
Address
2740 Shadowmoon Ln Ste 417, Driggs, ID, 80536-9311
Phone Number
307-745-5587
Fax Number
877-515-1633
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
807694600 05 ID
125563100 05 WY
institution
Provider Business Practice Location Address Details
Address
2740 Shadowmoon Ln Ste 417
City
Driggs
State
Idaho
Zip
83422-5083
Phone Number
307-745-5587
Fax Number
877-515-1633
person
Provider Business Mailing Address Details
Address
2740 Shadowmoon Ln Ste 417
City
Driggs
State
Idaho
Zip
83422-5083
Phone Number
307-745-5587
Fax Number
877-515-1633
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
231H00000X
License No.
A-974 (Wyoming)
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
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