Provider Demographics
NPI:1104177815
Name:AUDIOLOGY ADVANTAGE, LLC
Entity Type:Organization
Organization Name:AUDIOLOGY ADVANTAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER, AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:H
Authorized Official - Last Name:FARRAR
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:440-546-1121
Mailing Address - Street 1:8929 BRECKSVILLE RD
Mailing Address - Street 2:BACK
Mailing Address - City:BRECKSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44141-2301
Mailing Address - Country:US
Mailing Address - Phone:440-546-1121
Mailing Address - Fax:
Practice Address - Street 1:8929 BRECKSVILLE RD
Practice Address - Street 2:BACK
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2301
Practice Address - Country:US
Practice Address - Phone:440-546-1121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-21
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA000725231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty