Basic Information
Provider Information
NPI: 1952606105
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUFF
FirstName: GARY
MiddleName: S
NamePrefix: MR.
NameSuffix:  
Credential: BC-HIS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1433 STATE ST
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931012511
CountryCode: US
TelephoneNumber: 8058982530
FaxNumber: 8058982531
Practice Location
Address1: 1433 STATE ST
Address2:  
City: SANTA BARBARA
State: CA
PostalCode: 931012511
CountryCode: US
TelephoneNumber: 8058982530
FaxNumber: 8058982531
Other Information
ProviderEnumerationDate: 01/19/2011
LastUpdateDate: 04/26/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
237700000XHA#2824CAY Speech, Language and Hearing Service ProvidersHearing Instrument Specialist 

No ID Information.


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