Healthcare Provider Details

I. General information

NPI: 1821326943
Provider Name (Legal Business Name): MCDONNELL HEARING SOLUTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2009
Last Update Date: 08/09/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1907 CAPITAL CIR NE
TALLAHASSEE FL
32308-4421
US

IV. Provider business mailing address

1907 CAPITAL CIR NE
TALLAHASSEE FL
32308-4421
US

V. Phone/Fax

Practice location:
  • Phone: 850-222-4434
  • Fax:
Mailing address:
  • Phone: 850-222-1231
  • Fax: 850-222-4434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberAY863
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberAY863
License Number StateFL

VIII. Authorized Official

Name: DR. BRENDA R. MCDONNELL
Title or Position: AUDIOLOGIST/OWNER
Credential:
Phone: 850-222-1231