Provider Demographics
NPI:1942614094
Name:SAN RAFAEL HEARING CENTER
Entity Type:Organization
Organization Name:SAN RAFAEL HEARING CENTER
Other - Org Name:RILEY BARNEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RILEY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:520-721-4554
Mailing Address - Street 1:6518 E CARONDELET DR.
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85710
Mailing Address - Country:US
Mailing Address - Phone:520-721-4554
Mailing Address - Fax:888-422-1773
Practice Address - Street 1:6518 E CARONDELET DR.
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85710
Practice Address - Country:US
Practice Address - Phone:520-721-4554
Practice Address - Fax:888-422-1773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty