Provider Demographics
NPI:1679848287
Name:WESTALL, DOROTHY ANA (HAS)
Entity Type:Individual
Prefix:MRS
First Name:DOROTHY
Middle Name:ANA
Last Name:WESTALL
Suffix:
Gender:F
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1835 S CENTRE CITY PKWY
Mailing Address - Street 2:SUITE F
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92025-6544
Mailing Address - Country:US
Mailing Address - Phone:760-480-2266
Mailing Address - Fax:760-747-1953
Practice Address - Street 1:1835 S CENTRE CITY PKWY
Practice Address - Street 2:STE F
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-6544
Practice Address - Country:US
Practice Address - Phone:760-480-2266
Practice Address - Fax:760-747-1953
Is Sole Proprietor?:No
Enumeration Date:2012-03-14
Last Update Date:2012-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA7529237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist