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MRS. MARY DISSELKOEN
NPI 1457596090
Audiologist in Grand Rapids, MI

Active since December 11, 2008
1353 VAN AUKEN ST SE, GRAND RAPIDS, MI 49508(616) 819-2685(616) 819-2684 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Disselkoen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY DISSELKOEN (NPI 1457596090) is an individual audiologist in Grand Rapids, Michigan, licensed in Michigan (1601000230) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1457596090
Entity TypeIndividualFemale
Primary Taxonomy231H00000X
Provider Legal NameMRS. MARY DISSELKOEN
Location Address1353 VAN AUKEN ST SEGrand Rapids, MI 49508-2516
Mailing Address1353 Van Auken St SeGrand Rapids, MI 49508-2516 · (616) 819-2685 · Fax (616) 819-2684
Phone(616) 819-2685
Fax(616) 819-2684
Sole ProprietorNo
Enumeration DateDecember 11, 2008
✔ NPI 1457596090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyAudiologistSpeech, Language and Hearing Service Providers
Taxonomy Code231H00000X
License✔ Licensed in MI · 1601000230
Definition
(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Also ListedAudiologist · Assistive Technology PractitionerTaxonomy 231HA2400X · License 1601000230 (MI)
Also ListedAudiologist-Hearing Aid FitterTaxonomy 237600000X · License 1601000230 (MI)
1353 VAN AUKEN ST SE, Grand Rapids, MI 49508
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Disselkoen's NPI number?

The NPI number for Mary Disselkoen is 1457596090. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Mary Disselkoen located?

Mary Disselkoen practices at 1353 Van Auken St SE, Grand Rapids, MI 49508. The listed phone number is (616) 819-2685.

What is Mary Disselkoen's specialty?

The primary specialty registered for this NPI is Audiologist with taxonomy code 231H00000X.

When was this NPI record last updated?

The NPPES record for Mary Disselkoen was last updated on December 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.