Healthcare Provider Details

I. General information

NPI: 1194787895
Provider Name (Legal Business Name): A HEARING HEALTHCARE CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 03/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 RITTENHOUSE SQ SUITE C-1
PHILADELPHIA PA
19103-5767
US

IV. Provider business mailing address

1900 RITTENHOUSE SQ SUITE C-1
PHILADELPHIA PA
19103-5767
US

V. Phone/Fax

Practice location:
  • Phone: 215-985-4964
  • Fax: 215-985-1678
Mailing address:
  • Phone: 215-985-4964
  • Fax: 215-985-1678

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberD00159
License Number StatePA

VIII. Authorized Official

Name: MS. LISA ANDREA BLACKMAN
Title or Position: DIRECTOR OF AUDIOLOGY
Credential: MA, CCC-A, FAAA
Phone: 215-985-4964