Taravella, Anna Marie

Taravella, Anna Marie is an individual health care provider with primary practice located at 1701 E College Ave , Bloomington IL 61704-2101. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Taravella, Anna Marie can be contacted via phone (309) 664-3010.

Contact Information

Primary practice address
1701 E College Ave Bloomington IL 61704-2101
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147.000942 Illinois
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 147.000942 Illinois

Profile Details

NPI number 1467543181
LBN Legal business name Taravella, Anna Marie
Credentials M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Nov 25th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467543181 NPPES
Illinois Other IL2613 MEDICARE GROUP PTAN

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