Healthcare Provider Details

I. General information

NPI: 1083667497
Provider Name (Legal Business Name): HEARING SPEECH AND DEAF CENTER OF GREATER CINCINNATI
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 07/14/2023
Certification Date: 07/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2825 BURNET AVENUE SUITE 330
CINCINNATI OH
45219
US

IV. Provider business mailing address

2825 BURNET AVENUE SUITE 330
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 513-221-0527
  • Fax: 513-221-8014
Mailing address:
  • Phone: 513-221-0527
  • Fax: 513-221-8014

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: JANET BOOTHE
Title or Position: CEO
Credential:
Phone: 513-221-0527