=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750621785
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEAR-ABILITY INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/28/2013
-----------------------------------------------------
Last Update Date | 02/26/2014
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7250 COLLEGE PKWY SUITE 7
-----------------------------------------------------
City | FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33907-5606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-771-6003
-----------------------------------------------------
Fax | 239-939-0250
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7250 COLLEGE PKWY SUITE 7
-----------------------------------------------------
City | FORT MYERS
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33907-5606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 239-771-6003
-----------------------------------------------------
Fax | 239-939-0250
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | AUDIOLOGIST AVT CO-DIRECTOR
-----------------------------------------------------
Name | MS. KATHY KIM BRICKER
-----------------------------------------------------
Credential | M.S.
-----------------------------------------------------
Telephone | 239-771-6003
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 231H00000X
-----------------------------------------------------
Taxonomy Name | Audiologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------