Healthcare Provider Details
I. General information
NPI: 1588279921
Provider Name (Legal Business Name): DELANEY HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/12/2020
Last Update Date: 01/21/2022
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
671 BERKMAR CT
CHARLOTTESVILLE VA
22901
US
IV. Provider business mailing address
671 BERKMAR CT
CHARLOTTESVILLE VA
22901-1406
US
V. Phone/Fax
- Phone: 434-202-1430
- Fax: 434-321-1628
- Phone: 434-202-1430
- Fax: 434-321-1628
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2400X |
| Taxonomy | Assistive Technology Practitioner Audiologist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 231HA2500X |
| Taxonomy | Assistive Technology Supplier Audiologist |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 237600000X |
| Taxonomy | Audiologist-Hearing Aid Fitter |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ANNE
M.
DELANEY
Title or Position: OWNER
Credential: PH.D.
Phone: 434-202-1430