=====================================================
General NPI Number Information
=====================================================
NPI Number | 1609836212
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | A & E AUDIOLOGY, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/27/2006
-----------------------------------------------------
Last Update Date | 04/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2160 NOLL DR STE 100
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17603-7608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-392-4327
-----------------------------------------------------
Fax | 717-435-8299
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2160 NOLL DR STE 100
-----------------------------------------------------
City | LANCASTER
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 17603-7608
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 717-392-4327
-----------------------------------------------------
Fax | 717-435-8299
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. KAMAL A ELLIOT
-----------------------------------------------------
Credential | AUD
-----------------------------------------------------
Telephone | 717-627-4327
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | AY1669
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number | AT001094L
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------