Healthcare Provider Details

I. General information

NPI: 1649603606
Provider Name (Legal Business Name): HEATHER A TOTH AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2013
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 HENDERSONVILLE RD
ASHEVILLE NC
28803-1801
US

IV. Provider business mailing address

1065 HENDERSONVILLE RD
ASHEVILLE NC
28803-1801
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-3517
  • Fax: 828-253-6960
Mailing address:
  • Phone: 828-254-3517
  • Fax: 828-253-6960

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number10499
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number10499
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: