Basic Information
| Provider Information | |||||||||
| NPI: | 1164600805 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MEISTER | ||||||||
| FirstName: | MARTHA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.S., CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | 500 ESPLANADE DR STE 1225 | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930360589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054851290 | ||||||||
| FaxNumber: | 8059836983 | ||||||||
| Practice Location | |||||||||
| Address1: | 500 ESPLANADE DR STE 1225 | ||||||||
| Address2: | |||||||||
| City: | OXNARD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 930360589 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8054851290 | ||||||||
| FaxNumber: | 8059836983 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/05/2008 | ||||||||
| LastUpdateDate: | 02/21/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | AU 1535 | CA | Y | Speech, Language and Hearing Service Providers | Audiologist |
ID Information
| ID | Type | State | Issuer | Description | AU1535 | 01 | CA | CA AUDIOLOGY LICENSE | OTHER |