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Alica Long, MACCC-A
Audiologist in Gillette, Wyoming
NPI 1659385813

Alica Long is an Audiologist based in Gillette, WY. Alica Long practices in Gillette, WY and has the professional credentials of MACCC-A. The NPI Number for Alica Long is 1659385813 and holds a License No. A-973 (Wyoming).

The current practice location address for Alica Long is 300 Green Ave., Gillette, WY and can be reached out via phone at 307-689-3611. You can also correspond with Alica Long through the mailing address at 300 GREEN AVE., GILLETTE, WY - 82716-4045 (mailing address contact number: 307-689-3611).

Location: 300 Green Ave., Gillette, WY, 82716-4045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659385813
Provider Name
Alica Long
Credential
MACCC-A
Provider Entity Type
Individual
Gender
Female
Address
300 Green Ave., Gillette, WY, 82716-4045
Phone Number
307-689-3611
Fax Number
Provider Enumeration Date
07/27/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
507621740 05 NE
235 05 NE
P00297942 01 NE PALMENTO GBA RR MEDICARE
W308228 01 NE SOUTH DAKOTA MEDICARE
institution
Provider Business Practice Location Address Details
Address
300 Green Ave.
City
Gillette
State
Wyoming
Zip
82716-4045
Phone Number
307-689-3611
Fax Number
person
Provider Business Mailing Address Details
Address
300 Green Ave.
City
Gillette
State
Wyoming
Zip
82716-4045
Phone Number
307-689-3611
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist
Speciality
-
Taxonomy
231H00000X
License No.
A-973 (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.
person
Provider's Taxonomy Details 2
Type
Speech, Language and Hearing Service Providers
Classification
Audiologist-Hearing Aid Fitter
Speciality
-
Taxonomy
237600000X
License No.
A-973 (Wyoming)
Definition
An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".
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