Provider Demographics
NPI:1760863351
Name:JAROSH, MARIAH (AUD, CCC-A, FAAA)
Entity Type:Individual
Prefix:DR
First Name:MARIAH
Middle Name:
Last Name:JAROSH
Suffix:
Gender:F
Credentials:AUD, CCC-A, FAAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 VALLEY WEST DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50265-3902
Mailing Address - Country:US
Mailing Address - Phone:515-223-4368
Mailing Address - Fax:
Practice Address - Street 1:105 VALLEY WEST DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50265-3902
Practice Address - Country:US
Practice Address - Phone:515-223-4368
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-09
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077156237700000X
IA078499231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist