Provider Demographics
NPI:1275106569
Name:DENOIA AUDIOLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:DENOIA AUDIOLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHEA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DENOIA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:570-622-1435
Mailing Address - Street 1:434 E NORWEGIAN ST
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901-3684
Mailing Address - Country:US
Mailing Address - Phone:570-622-1435
Mailing Address - Fax:570-622-7902
Practice Address - Street 1:434 E NORWEGIAN ST
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901-3684
Practice Address - Country:US
Practice Address - Phone:570-622-1435
Practice Address - Fax:570-622-7902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-23
Last Update Date:2021-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty