Provider Demographics
NPI:1861439846
Name:MEY, AUBREY C
Entity Type:Individual
Prefix:
First Name:AUBREY
Middle Name:C
Last Name:MEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AUBREY
Other - Middle Name:
Other - Last Name:ANDREWS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5000 CHESHIRE PKWY N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55446-4103
Mailing Address - Country:US
Mailing Address - Phone:763-268-4115
Mailing Address - Fax:763-268-4430
Practice Address - Street 1:2530 ATLANTIC AVE
Practice Address - Street 2:STE D
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90806-2741
Practice Address - Country:US
Practice Address - Phone:562-426-2137
Practice Address - Fax:562-426-2512
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2011-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA6013237700000X
CAAU2357237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAU0023570Medicaid
CAWAU2357AMedicare PIN