Provider Demographics
NPI:1417949363
Name:DESERT SOUNDS AUDIOLOGY & HEARING AID SERVICES, LLC
Entity Type:Organization
Organization Name:DESERT SOUNDS AUDIOLOGY & HEARING AID SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GABRIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SADOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:602-697-1988
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:2005-08-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1350231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1962407619OtherNPI ENUMERATOR