Provider Demographics
NPI:1679914535
Name:RAVAL, STEPHANIE ELISE WEST (AUD)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ELISE WEST
Last Name:RAVAL
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:ELISE WEST
Other - Last Name:BIGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10535 HOSPITAL WAY
Mailing Address - Street 2:AUDIOLOGY BUILDING 809
Mailing Address - City:MATHER
Mailing Address - State:CA
Mailing Address - Zip Code:95655
Mailing Address - Country:US
Mailing Address - Phone:916-843-7456
Mailing Address - Fax:916-843-7064
Practice Address - Street 1:10535 HOSPITAL WAY
Practice Address - Street 2:AUDIOLOGY BUILDING 809
Practice Address - City:MATHER
Practice Address - State:CA
Practice Address - Zip Code:95655
Practice Address - Country:US
Practice Address - Phone:916-843-7456
Practice Address - Fax:916-843-7064
Is Sole Proprietor?:No
Enumeration Date:2013-07-08
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2916231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist