Provider Demographics
NPI:1700011269
Name:AUSTIN, CHERI ANN (NBC/HIS)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:ANN
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:NBC/HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 572
Mailing Address - Street 2:
Mailing Address - City:CHARLES CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50616-2015
Mailing Address - Country:US
Mailing Address - Phone:641-228-2689
Mailing Address - Fax:641-228-2697
Practice Address - Street 1:120 N MAIN ST
Practice Address - Street 2:AUSTIN HEARING CENTERS INC. SUITE A
Practice Address - City:CHARLES CITY
Practice Address - State:IA
Practice Address - Zip Code:50616-2015
Practice Address - Country:US
Practice Address - Phone:641-228-2689
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA00730237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist