Provider Demographics
NPI:1427149483
Name:EXCEPTIONAL HEARING SERVICES
Entity type:Organization
Organization Name:EXCEPTIONAL HEARING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SOL
Authorized Official - Middle Name:J
Authorized Official - Last Name:BARROS
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-A
Authorized Official - Phone:415-499-7766
Mailing Address - Street 1:4340 REDWOOD HIGHWAY
Mailing Address - Street 2:SUITE A-12
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94903
Mailing Address - Country:US
Mailing Address - Phone:415-499-7766
Mailing Address - Fax:
Practice Address - Street 1:4340 REDWOOD HIGHWAY
Practice Address - Street 2:SUITE A-12
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94903
Practice Address - Country:US
Practice Address - Phone:415-499-7766
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-27
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAHA3627332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment