Provider Demographics
NPI:1235316753
Name:AUBURN UNIVERSITY
Entity Type:Organization
Organization Name:AUBURN UNIVERSITY
Other - Org Name:AUBURN UNIVERSITY SPEECH & HEARING CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOWNSEND
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, CPB
Authorized Official - Phone:334-844-9600
Mailing Address - Street 1:1199 HALEY CTR
Mailing Address - Street 2:
Mailing Address - City:AUBURN UNIVERSITY
Mailing Address - State:AL
Mailing Address - Zip Code:36849-0001
Mailing Address - Country:US
Mailing Address - Phone:334-844-9600
Mailing Address - Fax:334-844-9684
Practice Address - Street 1:1199 HALEY CTR
Practice Address - Street 2:
Practice Address - City:AUBURN UNIVERSITY
Practice Address - State:AL
Practice Address - Zip Code:36849-5232
Practice Address - Country:US
Practice Address - Phone:334-844-9600
Practice Address - Fax:334-844-9684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL231H00000X, 235Z00000X
AL911235Z00000X
AL1827235Z00000X
AL575A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty