Healthcare Provider Details

I. General information

NPI: 1497400840
Provider Name (Legal Business Name): SC AUDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2022
Last Update Date: 05/21/2024
Certification Date: 05/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 W 5TH AVE STE 421
SPOKANE WA
99204-2841
US

IV. Provider business mailing address

801 W 5TH AVE STE 421
SPOKANE WA
99204-2841
US

V. Phone/Fax

Practice location:
  • Phone: 509-835-5111
  • Fax:
Mailing address:
  • Phone: 509-835-5111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. SAVANNAH WARREN
Title or Position: OWNER
Credential: AUD
Phone: 509-835-5111