Provider Demographics
NPI:1992008320
Name:MICROTONE AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:MICROTONE AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DUGUAY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:707-252-0990
Mailing Address - Street 1:3443 VILLA LN
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6417
Mailing Address - Country:US
Mailing Address - Phone:707-252-0990
Mailing Address - Fax:707-252-9077
Practice Address - Street 1:3443 VILLA LN
Practice Address - Street 2:SUITE 3
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6417
Practice Address - Country:US
Practice Address - Phone:707-252-0990
Practice Address - Fax:707-252-9077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-07
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU2299237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty