Healthcare Provider Details
I. General information
NPI: 1730827957
Provider Name (Legal Business Name): SOUND ADVICE AUDIOLOGY WESTLAND
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/26/2022
Last Update Date: 06/15/2022
Certification Date: 06/15/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
35337 WARREN RD
WESTLAND MI
48185-2013
US
IV. Provider business mailing address
35337 WARREN RD
WESTLAND MI
48185-2013
US
V. Phone/Fax
- Phone: 734-467-5100
- Fax: 734-467-5103
- Phone: 734-467-5100
- Fax: 734-467-5103
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TERI
CARSON
Title or Position: OFFICE MANAGER
Credential:
Phone: 734-838-9990