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Mrs. Susan J Boutault, HIS
Hearing Instrument Specialist in Covina, California
NPI 1851493282

Susan J Boutault is a Hearing Instrument Specialist based in Covina, CA. Susan J Boutault practices in Covina, CA and has the professional credentials of HIS. The NPI Number for Susan J Boutault is 1851493282 and holds a License No. HA1314 (California).

The current practice location address for Susan J Boutault is 227 W Badillo, Covina, CA and can be reached out via phone at 626-732-3510 and via fax at 626-732-3520.

Location: 227 W Badillo, Covina, CA, 91723
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851493282
Provider Name
Susan J Boutault
Credential
HIS
Provider Entity Type
Individual
Gender
Female
Address
227 W Badillo, Covina, CA, 91723
Phone Number
626-732-3510
Fax Number
626-732-3520
Provider Enumeration Date
09/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HA00013140 05 CA
institution
Provider Business Practice Location Address Details
Address
227 W Badillo
City
Covina
State
California
Zip
91723
Phone Number
626-732-3510
Fax Number
626-732-3520
person
Provider Business Mailing Address Details
Address
227 W Badillo
City
Covina
State
California
Zip
91723
Phone Number
626-732-3510
Fax Number
626-732-3520
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Hearing Instrument Specialist
Speciality
-
Taxonomy
237700000X
License No.
HA1314 (California)
Definition
Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society
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