Healthcare Provider Details
I. General information
NPI: 1417638404
Provider Name (Legal Business Name): HEARING AIDS BY LAURIE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/31/2023
Last Update Date: 07/31/2023
Certification Date: 07/31/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
185 RYLIE DR
HARMONY PA
16037-7745
US
IV. Provider business mailing address
185 RYLIE DR
HARMONY PA
16037-7745
US
V. Phone/Fax
- Phone: 412-583-7411
- Fax:
- Phone: 412-583-7411
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0700X |
| Taxonomy | Hearing and Speech Clinic/Center |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
LAURIE
ANN
WALTZ-HRUSKA
Title or Position: PRESIDENT
Credential: MBA, BC-HIS
Phone: 412-583-7411