Provider Demographics
NPI:1235798026
Name:RESTORATION HEARING LLC
Entity Type:Organization
Organization Name:RESTORATION HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:P
Authorized Official - Last Name:CLEARY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:615-454-3187
Mailing Address - Street 1:2225 BANDYWOOD DR STE 2W
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2754
Mailing Address - Country:US
Mailing Address - Phone:615-454-3187
Mailing Address - Fax:
Practice Address - Street 1:2225 BANDYWOOD DR STE 2W
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37215-2754
Practice Address - Country:US
Practice Address - Phone:615-454-3187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-06
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty