| Ashley Marie Chwastyk, AUD | |
|
496 1st St Ste 120, Los Altos, CA 94022-3677 | |
| (650) 941-0664 | |
| (650) 941-2892 |
| Full Name | Ashley Marie Chwastyk |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 496 1st St Ste 120, Los Altos, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013441583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | 3219 (California) | Primary |
| Provider Name | Pacific Hearing Clinic Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1073652673 PECOS PAC ID: 0547356081 Enrollment ID: O20071016000131 |
| Mailing Address | Practice Location Address |
|---|---|
| Ashley Marie Chwastyk, AUD 496 1st St Ste 120, Los Altos, CA 94022-3677 Ph: (650) 941-0664 | Ashley Marie Chwastyk, AUD 496 1st St Ste 120, Los Altos, CA 94022-3677 Ph: (650) 941-0664 |
Mrs. Allison Rae Kowalczyk, M.S. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 496 1st St, Suite 120, Los Altos, CA 94022 Phone: 650-941-0664 Fax: 650-941-2892 | |
Ms. Jennifer Fargo Lathrop, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 496 1st St, Suite 120, Los Altos, CA 94022 Phone: 650-941-0664 Fax: 650-941-2892 | |
Pacific Hearing Connection Audiologist Medicare: Not Enrolled in Medicare Practice Location: 496 1st St Ste 120, Los Altos, CA 94022 Phone: 650-941-0664 |