Basic Information
| Provider Information | |||||||||
| NPI: | 1104076090 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | AUDIOLOGY ASSOCIATES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1029 LIBERTY ST | ||||||||
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| City: | FRANKLIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163231242 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 1029 LIBERTY ST | ||||||||
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| City: | FRANKLIN | ||||||||
| State: | PA | ||||||||
| PostalCode: | 163231242 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8144377266 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/26/2008 | ||||||||
| LastUpdateDate: | 09/26/2008 | ||||||||
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| AuthorizedOfficialLastName: | FRANTZ | ||||||||
| AuthorizedOfficialFirstName: | ALICE | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRACTICE MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 8144377266 | ||||||||
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| IsOrganizationSubpart: | Y | ||||||||
| ParentOrganizationLBN: | CRAWFORD AND FITCH, EAR, NOSE, AND THROAT | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | AT001166L | PA | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.