Provider Demographics
NPI:1326211723
Name:WHISENHUNT, MARY JANE (AUD)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JANE
Last Name:WHISENHUNT
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:JANE
Other - Last Name:MASCHGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9097 E DESERT COVE DR
Mailing Address - Street 2:200
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6279
Mailing Address - Country:US
Mailing Address - Phone:480-614-0499
Mailing Address - Fax:480-614-4344
Practice Address - Street 1:9097 E DESERT COVE DR
Practice Address - Street 2:200
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6279
Practice Address - Country:US
Practice Address - Phone:480-614-0499
Practice Address - Fax:480-614-4344
Is Sole Proprietor?:No
Enumeration Date:2008-04-07
Last Update Date:2008-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1832231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist