Healthcare Provider Details

I. General information

NPI: 1922030097
Provider Name (Legal Business Name): LEAH JOYCE ALVIS AUD, CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEAH JOYCE DRENNAN AUD, CCC-A

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21911 76TH AVE W STE 211
EDMONDS WA
98026-7918
US

IV. Provider business mailing address

21911 76TH AVE W STE 211
EDMONDS WA
98026-7918
US

V. Phone/Fax

Practice location:
  • Phone: 425-775-6651
  • Fax:
Mailing address:
  • Phone: 425-775-6651
  • Fax: 425-670-6718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberLD00003859
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License NumberLD00003859
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberLD00003859
License Number StateWA
# 4
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberLD00003859
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: