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APPLICATION for APPROVAL TO TAKE the HEARING AID DISPENS…
https://azdhs.gov/documents/licensing/special/speech-hearing/forms/application-for-approval-hearing-aid-dispenser-exam.pdf#:~:text=IF%20you%20are%20interested%20in%20being%20able%20to,for%20the%20TEMPORARY%20HEARING%20AID%20DISPENER%20%28THAD%29%20license.
Arizona Licensing Requirements for Audiologists and …
https://www.asha.org/advocacy/state/info/AZ/licensure/
1. Doctoral degree from a nationally or regionally accredited college or university in an accredited program consistent with the standards of this state's universities 2. Passage of an examination Note:Any person who holds a license must notify the dir…
Revised 09.2 .2021 1 - Arizona Department of Health …
https://www.azdhs.gov/documents/licensing/special/speech-hearing/forms/audiologist-initial-application.pdf
AUDIOLOGIST OR DISPENSING AUDIOLOGIST INITIAL APPLICATION Bureau of Special Licensing 150 North 18 th Avenue, Suite 410 Phoenix, Arizona 85007 Legal First Name Legal Middle Name Legal Last Name Previous AZ License #,( if applicable) Pursuant to Arizona Revised Statutes (A.R.S.) Title 36, Chapter 17 and Arizona Administrative Code (A.A.C.) Title 9,
AZDHS | Special Licensing - Arizona Department of …
https://azdhs.gov/licensing/special/index.php
Arizona Department of Health Services 150 North 18th Avenue Phoenix, Arizona 85007 Find us on Google Maps. General and Public Information: (602) 542-1025 Fax: (602) 542-0883 About Us | Contact Us Employees Individuals with hearing or speech challenges, call 711 for Relay
APPLICATION for APPROVAL TO TAKE the HEARING …
https://azdhs.gov/documents/licensing/special/speech-hearing/forms/application-for-approval-hearing-aid-dispenser-exam.pdf
interested in being able to practice the fitting and dispensing of hearing aids in Arizona while waiting to take the exams, you should seek the sponsorship of an Arizona licensed Hearing Aid Dispenser or Arizona licensed Dispensing Audiologist and apply for the TEMPORARY HEARING AID DISPENER (THAD) license. Applying for the THAD license will . include
Initial License Hearing Aid Dispenser by Reciprocity
https://azdhs.gov/documents/licensing/special/speech-hearing/forms/initial-license-hearing-aid-dispenser-by-reciprocity.pdf
INITIAL LICENSE APPLICATION – HEARING AID DISPENSER BY RECIPROCITY ADHS REVIEW ONLY: APPLICANT INFORMATION [ALL FIELDS ON THIS PAGE ARE REQUIRED] APPLICANT, If you are re-applying for an expired or non-renewable ARIZONA license, write the license number here: Please ADHSprovide the followinginformation and documents: [Please print legibly.]
Home Page - Arizona Department of Health Services
https://licensing.azdhs.gov/LicensingOnline/BSLSAndH
If you have had changes affecting your license, please complete the “Notification of Changes Affecting a License” form available online and submit it to the Department via email to [email protected] or fax it to 602-364-4769. When renewing your license, please have all necessary documentation available and allow for uninterrupted ...
Licensing Services Statement of Deficiencies Search Page
https://hsapps.azdhs.gov/ls/sod/SearchProv.aspx?type=AUD
Speech-Language and Hearing Providers : Search Form. This searchable database contains information about deficiencies found against facilities/providers by the Arizona Department of Health Services. Records may be searched by …
Audiology Staff | AZ Hearing & Balance Center
http://www.azhearingbalance.org/audiology/audiology-staff
She maintains a Dispensing Audiologist license from the state of Arizona is certified by the American Speech Language Hearing Association and is a Fellow of the American Academy of Audiology. Kelly Hernandez, AuD,CCC-A, FAAA. Dr. Hernandez joined Arizona Hearing and Balance in 2016. She has been an audiologist since 1997.
License Search | eLicense - Arizona
https://elicense.az.gov/ARDC_LicenseSearch
License Search To verify a license, select Individual or Business, enter search criteria and click Search to see the results. Search for Individuals or change to
AZ Medical Board - Licensure
https://www.azmd.gov/licensure/licensure
Welcome to the Licensure Department’s Homepage. Here you will find (tabbed at the left margin), the different license application options as well as a link for license status updates. Upon receipt of your application, a licensing coordinator will contact you regarding required documentation and assist you throughout the medical licensure process.
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