Healthcare Provider Details

I. General information

NPI: 1578500930
Provider Name (Legal Business Name): AUDITORY VERBAL CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2006
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1875 CENTURY BLVD NE STE 200
ATLANTA GA
30345-3314
US

IV. Provider business mailing address

1875 CENTURY BLVD NE STE 200
ATLANTA GA
30345-3314
US

V. Phone/Fax

Practice location:
  • Phone: 404-633-8911
  • Fax: 404-633-6403
Mailing address:
  • Phone: 404-633-8911
  • Fax: 404-633-6403

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DELPHINE LYNNAE SPANN
Title or Position: OPERATIONS MANAGER
Credential:
Phone: 404-633-8911