NPI 1962478156 · live from the CMS NPI Registry
Sally Ann Bacon, AuD
Audiologist in Spencerport, NY. National Provider Identifier 1962478156, active.
NPI record
| NPI | 1962478156 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Audiologist 231H00000X |
| Practice location | 3599 Big Ridge Rd, Spencerport, NY 14559 |
| Practice phone | 585-352-2440 |
| Mailing address | 3599 Big Ridge Rd., Spencerport, NY 14559 |
| Enumerated | February 27, 2006 |
| Last updated | October 15, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Audiologist primary | 231H00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.