Provider Demographics
NPI:1033265582
Name:ADVANCED AUDIOLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LEANNE
Authorized Official - Middle Name:O
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:508-539-9780
Mailing Address - Street 1:800 FALMOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:MASHPEE
Mailing Address - State:MA
Mailing Address - Zip Code:02649
Mailing Address - Country:US
Mailing Address - Phone:508-539-9780
Mailing Address - Fax:508-539-9830
Practice Address - Street 1:800 FALMOUTH RD
Practice Address - Street 2:
Practice Address - City:MASHPEE
Practice Address - State:MA
Practice Address - Zip Code:02649
Practice Address - Country:US
Practice Address - Phone:508-539-9780
Practice Address - Fax:508-539-9830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2013-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA543 LEANNE L ONEIL231H00000X
MA592 TIFFANY PFLEGER231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
807005OtherTUFTS HEALTH PLAN GROUP
AG0030OtherBCBS GROUP
809416OtherHARVARD PILGRIM HLTHCARE
809417OtherHARVARD PILGRIM HLTHCARE
B501031OtherCIGNA HEALTHCARE GROUP
807005OtherTUFTS HEALTH PLAN GROUP
809417OtherHARVARD PILGRIM HLTHCARE
=========OtherCHAMPUS TRICARE