Provider Demographics
NPI:1023215118
Name:DESERT SOUNDS AUDIOLOGY AND HEARING
Entity Type:Organization
Organization Name:DESERT SOUNDS AUDIOLOGY AND HEARING
Other - Org Name:DESERT SOUNDS AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:480-497-3285
Mailing Address - Street 1:6124 E BROWN RD
Mailing Address - Street 2:STE. 102
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85205-4959
Mailing Address - Country:US
Mailing Address - Phone:480-497-3285
Mailing Address - Fax:480-833-2513
Practice Address - Street 1:6124 E BROWN RD
Practice Address - Street 2:STE. 102
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85205-4959
Practice Address - Country:US
Practice Address - Phone:480-497-3285
Practice Address - Fax:480-833-2513
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-02
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD1807237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ01089518OtherASHA CERTIFICATION
AZAZ0901110OtherBLUE CROSS BLUE SHIELD OF ARIZONA
AZ640004720OtherRAILROAD MEDICARE
AZBHAD1807OtherSTATE LICENSE
AZ01089518OtherASHA CERTIFICATION
AZBHAD1807OtherSTATE LICENSE