Healthcare Provider Details

I. General information

NPI: 1164696142
Provider Name (Legal Business Name): LAUREN TOOHEY NYE MS, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2008
Last Update Date: 04/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 MEDICAL PARK DR E SUITE 153
BIRMINGHAM AL
35235-3400
US

IV. Provider business mailing address

48 MEDICAL PARK DR E SUITE 153
BIRMINGHAM AL
35235-3400
US

V. Phone/Fax

Practice location:
  • Phone: 205-838-3755
  • Fax: 205-838-3758
Mailing address:
  • Phone: 205-838-3755
  • Fax: 205-838-3758

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number842A
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number842A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: