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MR. SHERWIN A. BASIL AU.D
Assistive Technology Practitioner >> Audiologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1558366567
Individual Registrant:MR. SHERWIN A. BASIL AU.D
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
5220 CLARK AVE STE 100 LAKEWOOD, CA 90712-2624 US
Tel: 562-439-9539 Fax: 562-439-2232
Tel: 562-439-9539 Fax: 562-439-2232
Contact information for business:
5220 CLARK AVE STE 100 LAKEWOOD, CA 90712-2624 US
Tel: 562-439-9539 Fax: --
Tel: 562-439-9539 Fax: --
Registration Information:
NPI: 1558366567
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 231HA2400X | Speech, Language and Hearing Service Providers Audiologist Assistive Technology Practitioner | CA | AU22 |
| N | 231HA2500X | Speech, Language and Hearing Service Providers Audiologist | CA | AU22 |
| N | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | CA | SP1845 |
| Y | 231H00000X | Speech, Language and Hearing Service Providers Audiologist | CA | AU22 |
| N | 237600000X | Speech, Language and Hearing Service Providers Audiologist-Hearing Aid Fitter | CA | AU22 |
| N | 237700000X | Speech, Language and Hearing Service Providers Hearing Instrument Specialist | CA | HA1140 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
