Provider Demographics
NPI:1033251459
Name:SOUND ADVICE AUDIOLOGY
Entity Type:Organization
Organization Name:SOUND ADVICE AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT AUDIOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:T
Authorized Official - Last Name:LALONE
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-A
Authorized Official - Phone:207-828-9590
Mailing Address - Street 1:260 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SOUTH PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04106-2432
Mailing Address - Country:US
Mailing Address - Phone:207-828-9590
Mailing Address - Fax:207-828-1049
Practice Address - Street 1:260 WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SOUTH PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04106-2432
Practice Address - Country:US
Practice Address - Phone:207-828-9590
Practice Address - Fax:207-828-1049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP159231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNT752OtherHARVARD PILGRIM
367490OtherCIGNA
NH30006549Medicaid
1042010OtherAETNA
7303080Y0NHOtherANTHEM N.H.
MNT752OtherHARVARD PILGRIM
=========OtherANTHEM - MAINE