MEDICARE: DR. HEATHER HANCOCK DOOLEY AU.D, CCC-A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	1291	TN

General Provider Information

NPI Number	:	1225159692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEATHER HANCOCK DOOLEY AU.D, CCC-A

Provider Business Mailing Address
First Line	:	1430 W BADDOUR PKWY
Second Line	:	SUITE D
City	:	LEBANON
State	:	TN
Zip	:	37087-2656
Country	:	US
Telephone Number	:	615-443-4070
Fax Number	:	615-443-4432

Provider Business Practice Location Address
First Line	:	1430 W BADDOUR PKWY
Second Line	:	SUITE D
City	:	LEBANON
State	:	TN
Zip	:	37087-2656
Country	:	US
Telephone Number	:	615-443-4070
Fax Number	:	615-443-4432

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/27/2018

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