Provider Demographics
NPI:1447574116
Name:MAUND, GAY (AUD)
Entity Type:Individual
Prefix:DR
First Name:GAY
Middle Name:
Last Name:MAUND
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 CAMINO DE VILLAS
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-1107
Mailing Address - Country:US
Mailing Address - Phone:818-953-9919
Mailing Address - Fax:
Practice Address - Street 1:3500 LOMITA BLVD STE 203
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-5019
Practice Address - Country:US
Practice Address - Phone:310-373-6039
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-24
Last Update Date:2010-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
231H00000X
CAAU 109237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter