Wellformed AI

NPI 1679500169 · live from the CMS NPI Registry

Paulene Hartley, MS,CCC-A

Audiologist in St George, UT. National Provider Identifier 1679500169, active.

NPI record

NPI1679500169 Type 1 · individual
StatusActive
Primary specialtyAudiologist 231H00000X
Practice location1067 E Tabernacle St, Suite 7, St George, UT 84770
Practice phone435-634-7608
Mailing addressPo Box 460657, 508 E Silvercrest Court, Leeds, UT 84746
EnumeratedJune 28, 2006
Last updatedJuly 8, 2007
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist primary231H00000X1889364101 (UT)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.