Provider Demographics
NPI:1114247368
Name:SYKOTIC INC
Entity Type:Organization
Organization Name:SYKOTIC INC
Other - Org Name:CLEARTONE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:I
Authorized Official - Last Name:EARLY
Authorized Official - Suffix:
Authorized Official - Credentials:NBCHIS
Authorized Official - Phone:972-918-5144
Mailing Address - Street 1:2965 ROLLING HILLS LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32712-6479
Mailing Address - Country:US
Mailing Address - Phone:972-918-5144
Mailing Address - Fax:972-918-5145
Practice Address - Street 1:13155 NOEL RD
Practice Address - Street 2:STE 900
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5090
Practice Address - Country:US
Practice Address - Phone:972-918-5144
Practice Address - Fax:972-918-5145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2011-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX220441401Medicaid