Provider Demographics
NPI:1225159692
Name:DOOLEY, HEATHER HANCOCK (AUD, CCC-A)
Entity Type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:HANCOCK
Last Name:DOOLEY
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1430 W BADDOUR PKWY
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEBANON
Mailing Address - State:TN
Mailing Address - Zip Code:37087-2656
Mailing Address - Country:US
Mailing Address - Phone:615-443-4070
Mailing Address - Fax:615-443-4432
Practice Address - Street 1:1430 W BADDOUR PKWY
Practice Address - Street 2:SUITE D
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-2656
Practice Address - Country:US
Practice Address - Phone:615-443-4070
Practice Address - Fax:615-443-4432
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1291231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN621861249OtherTAX ID NUMBER