Basic Information
| Provider Information | |||||||||
| NPI: | 1669562450 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCHAFER | ||||||||
| FirstName: | SALLY | ||||||||
| MiddleName: | A | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | MA, CCC-A | ||||||||
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| Mailing Information | |||||||||
| Address1: | SOUNDPOINT HEARING CENTERS | ||||||||
| Address2: | 3443 N CAMPBELL AVE., STE 135 | ||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85719 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202026008 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3443 N CAMPBELL AVE STE 135 | ||||||||
| Address2: | |||||||||
| City: | TUCSON | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 857192379 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5202026008 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2006 | ||||||||
| LastUpdateDate: | 12/17/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/15/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 30780 | OR | N | Speech, Language and Hearing Service Providers | Audiologist | 237600000X | DA9694 | AZ | N | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | 231H00000X | DA9694 | AZ | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.