Healthcare Provider Details

I. General information

NPI: 1447648928
Provider Name (Legal Business Name): HEARING HEALTH ASSOCIATES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2015
Last Update Date: 10/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 VICTORY DR
LIBERTY MO
64068-3807
US

IV. Provider business mailing address

9 VICTORY DR
LIBERTY MO
64068-3807
US

V. Phone/Fax

Practice location:
  • Phone: 816-885-0487
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. PAM MORIN
Title or Position: FINANCE
Credential:
Phone: 816-885-0487