Provider Demographics
NPI:1013011048
Name:PERSONAL HEARING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PERSONAL HEARING SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:S
Authorized Official - Last Name:DILES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:707-538-1000
Mailing Address - Street 1:1383 NO. MCDOWELL BLVD #100
Mailing Address - Street 2:
Mailing Address - City:PETALUMA
Mailing Address - State:CA
Mailing Address - Zip Code:94954
Mailing Address - Country:US
Mailing Address - Phone:707-789-9191
Mailing Address - Fax:707-789-9009
Practice Address - Street 1:1383 NO. MCDOWELL BLVD #100
Practice Address - Street 2:
Practice Address - City:PETALUMA
Practice Address - State:CA
Practice Address - Zip Code:94954
Practice Address - Country:US
Practice Address - Phone:707-789-9191
Practice Address - Fax:707-789-9009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
CAAU973237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty