Healthcare Provider Details

I. General information

NPI: 1104076090
Provider Name (Legal Business Name): AUDIOLOGY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2008
Last Update Date: 09/26/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1029 LIBERTY ST
FRANKLIN PA
16323-1242
US

IV. Provider business mailing address

1029 LIBERTY ST
FRANKLIN PA
16323-1242
US

V. Phone/Fax

Practice location:
  • Phone: 814-437-7266
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberAT001166L
License Number StatePA

VIII. Authorized Official

Name: ALICE FRANTZ
Title or Position: PRACTICE MANAGER
Credential:
Phone: 814-437-7266