Provider Demographics
NPI:1184842973
Name:AUDIOLOGY ASSOCIATES, INC
Entity Type:Organization
Organization Name:AUDIOLOGY ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MELIZABETH
Authorized Official - Middle Name:R
Authorized Official - Last Name:MAATTA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:785-539-7361
Mailing Address - Street 1:1133 COLLEGE AVE
Mailing Address - Street 2:SUITE 101A
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66502-2770
Mailing Address - Country:US
Mailing Address - Phone:785-539-7361
Mailing Address - Fax:
Practice Address - Street 1:1133 COLLEGE AVE
Practice Address - Street 2:SUITE 101A
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2770
Practice Address - Country:US
Practice Address - Phone:785-539-7361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS00587231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS1023083474OtherNPI TYPE 1 PROVIDER
KS116215OtherBCBS LINE 33
KS116215Medicare ID - Type UnspecifiedMEDICARE LINE33
KSR31185Medicare UPIN