Provider Demographics
NPI:1194152421
Name:CONLEY, GAY ULEEN (HEARING SPEC)
Entity type:Individual
Prefix:
First Name:GAY
Middle Name:ULEEN
Last Name:CONLEY
Suffix:
Gender:F
Credentials:HEARING SPEC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844
Mailing Address - Street 2:5 W. CENTRAL AVE
Mailing Address - City:OMAK
Mailing Address - State:WA
Mailing Address - Zip Code:98841-0844
Mailing Address - Country:US
Mailing Address - Phone:509-422-3100
Mailing Address - Fax:509-826-7534
Practice Address - Street 1:5 W. CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OMAK
Practice Address - State:WA
Practice Address - Zip Code:98841-0844
Practice Address - Country:US
Practice Address - Phone:509-422-3100
Practice Address - Fax:509-826-7534
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-01
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAHA3728237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist