Healthcare Provider Details

I. General information

NPI: 1518078690
Provider Name (Legal Business Name): FAMILY HEARING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NORTHVIEW ST
KNOXVILLE TN
37919-5102
US

IV. Provider business mailing address

105 NORTHVIEW ST
KNOXVILLE TN
37919-5102
US

V. Phone/Fax

Practice location:
  • Phone: 865-588-3511
  • Fax: 865-588-2486
Mailing address:
  • Phone: 865-588-3511
  • Fax: 865-588-2486

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number0111
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number0111
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number0111
License Number StateTN
# 4
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number0111
License Number StateTN
# 5
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number0111
License Number StateTN

VIII. Authorized Official

Name: MS. SUE CAROL STONE
Title or Position: BOARD CERTIFIED DOCTOR OF AUDIOLOGY
Credential: AU.D
Phone: 865-588-3511