Provider Demographics
NPI:1386822187
Name:DINNAUER, PAULINE MARY (AUD)
Entity Type:Individual
Prefix:DR
First Name:PAULINE
Middle Name:MARY
Last Name:DINNAUER
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:DR
Other - First Name:PAULILNE
Other - Middle Name:MARY
Other - Last Name:TYLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:1725 ORANGE TREE LN STE B
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-4568
Mailing Address - Country:US
Mailing Address - Phone:909-556-3449
Mailing Address - Fax:760-843-0997
Practice Address - Street 1:1725 ORANGE TREE LN STE B
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-4568
Practice Address - Country:US
Practice Address - Phone:909-556-3449
Practice Address - Fax:760-843-0997
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1368231H00000X
CAHA3006237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter