Healthcare Provider Details

I. General information

NPI: 1578733259
Provider Name (Legal Business Name): CHATTANOOGA'S HEALTHY HEARING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2008
Last Update Date: 03/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9298 APISON PIKE SUITE 110
OOLTEWAH TN
37363-8628
US

IV. Provider business mailing address

9298 APISON PIKE SUITE 110
OOLTEWAH TN
37363-8628
US

V. Phone/Fax

Practice location:
  • Phone: 423-648-4232
  • Fax:
Mailing address:
  • Phone: 423-648-4232
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number1046
License Number StateTN

VIII. Authorized Official

Name: MRS. WENDY M HALSEY-RICHARDSON
Title or Position: AUDIOLOGIST/OWNER
Credential: M.S., CCC-A, F-AAA
Phone: 423-648-4232