Healthcare Provider Details

I. General information

NPI: 1427618479
Provider Name (Legal Business Name): HOPE ROBERTS STEWART AUD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 04/15/2024
Certification Date: 11/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

974 BETHEL RD
COLUMBUS OH
43214-2467
US

IV. Provider business mailing address

974 BETHEL RD
COLUMBUS OH
43214-2467
US

V. Phone/Fax

Practice location:
  • Phone: 614-827-0011
  • Fax:
Mailing address:
  • Phone: 614-827-0011
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA.02505
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number967
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: