Basic Information
| Provider Information | |||||||||
| NPI: | 1295970994 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | SOUNDPOINT AUDIOLOGY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3131 FERNBROOK LN N STE 100 | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554475336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635158222 | ||||||||
| FaxNumber: | 7635591424 | ||||||||
| Practice Location | |||||||||
| Address1: | 3131 FERNBROOK LN N STE 100 | ||||||||
| Address2: | |||||||||
| City: | PLYMOUTH | ||||||||
| State: | MN | ||||||||
| PostalCode: | 554475336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7635158222 | ||||||||
| FaxNumber: | 7635591424 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/09/2008 | ||||||||
| LastUpdateDate: | 12/09/2008 | ||||||||
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| AuthorizedOfficialLastName: | TOENSING | ||||||||
| AuthorizedOfficialFirstName: | GIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MEDICAL CLAIMS COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 7635154076 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MRS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237600000X | 5919 | MN | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |
No ID Information.