Provider Demographics
NPI:1003996729
Name:VIRGINIA HEARING CONSULTANTS
Entity Type:Organization
Organization Name:VIRGINIA HEARING CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:H
Authorized Official - Last Name:BARTLETT
Authorized Official - Suffix:
Authorized Official - Credentials:AU D,
Authorized Official - Phone:757-461-4327
Mailing Address - Street 1:4540 PRINCESS ANNE RD.
Mailing Address - Street 2:SUITE 123
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462
Mailing Address - Country:US
Mailing Address - Phone:757-461-4327
Mailing Address - Fax:757-226-8022
Practice Address - Street 1:4540 PRINCESS ANNE RD.
Practice Address - Street 2:SUITE 123
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462
Practice Address - Country:US
Practice Address - Phone:757-461-4327
Practice Address - Fax:757-226-8022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2201000547237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010197295Medicaid
VA010197325Medicaid
VA00W508H02Medicare ID - Type UnspecifiedTHERESA BARTLETT
VA00X487624219Medicare PIN