Andersen, Beverly Ruth

Andersen, Beverly Ruth is an individual health care provider with primary practice located at 1946 W Morten Ave , Phoenix AZ 85021-6977. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Andersen, Beverly Ruth can be contacted via phone (602) 336-6991.

Contact Information

Primary practice address
1946 W Morten Ave Phoenix AZ 85021-6977
Phone: (602) 336-6991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AUD0009 Arizona

Profile Details

NPI number 1306985163
LBN Legal business name Andersen, Beverly Ruth
Credentials M.S. CCC-A.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306985163 NPPES
Arizona Other 927337 AHCCCS

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