Provider Demographics
NPI:1982777447
Name:PFAU, ELLEN
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:
Last Name:PFAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NAPA
Other - Middle Name:VALLEY
Other - Last Name:HEARING CENTER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1100 TRANCAS ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2900
Mailing Address - Country:US
Mailing Address - Phone:707-255-2077
Mailing Address - Fax:707-255-9188
Practice Address - Street 1:1100 TRANCAS ST
Practice Address - Street 2:SUITE 210
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-2900
Practice Address - Country:US
Practice Address - Phone:707-255-2077
Practice Address - Fax:707-255-9188
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU546237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1982777447OtherDBA NAPA VALLEY HEARING CENTER
CA1982777447OtherDBA NAPA VALLEY HEARING CENTER
CAZZZ86829ZMedicare ID - Type Unspecified