Provider Demographics
NPI:1558347971
Name:HEWITT, JOAN GLASER (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:GLASER
Last Name:HEWITT
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 1:2210 ENCINITAS BLVD
Mailing Address - Street 2:SUITE O
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4376
Mailing Address - Country:US
Mailing Address - Phone:760-634-1553
Mailing Address - Fax:760-634-1660
Practice Address - Street 1:2210 ENCINITAS BLVD
Practice Address - Street 2:SUITE O
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4376
Practice Address - Country:US
Practice Address - Phone:760-634-1553
Practice Address - Fax:760-634-1660
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1225231H00000X
CAHA2582237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter