Provider Demographics
NPI:1073885299
Name:HEARING SERVICES OF VIRGINIA, PLLC
Entity Type:Organization
Organization Name:HEARING SERVICES OF VIRGINIA, PLLC
Other - Org Name:HEARING SERVICES OF VIRGINIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MOLLY
Authorized Official - Middle Name:JORDAN
Authorized Official - Last Name:HOWLETT
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:757-962-2326
Mailing Address - Street 1:4356 BONNEY RD
Mailing Address - Street 2:BLDG.1, SUITE 102
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-1200
Mailing Address - Country:US
Mailing Address - Phone:757-962-2326
Mailing Address - Fax:757-962-2328
Practice Address - Street 1:4356 BONNEY RD
Practice Address - Street 2:BLDG.1, SUITE 102
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-1200
Practice Address - Country:US
Practice Address - Phone:757-962-2326
Practice Address - Fax:757-962-2328
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-03
Last Update Date:2024-04-16
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
VA1487624219OtherNPI