Provider Demographics
NPI:1285868067
Name:HEAR VIRGINIA LLC
Entity Type:Organization
Organization Name:HEAR VIRGINIA LLC
Other - Org Name:HEAR VIRGINIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LORRAINE
Authorized Official - Middle Name:KLEIN
Authorized Official - Last Name:GARDNER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:804-282-5590
Mailing Address - Street 1:6722 PATTERSON AVE STE A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23226-3400
Mailing Address - Country:US
Mailing Address - Phone:804-282-5590
Mailing Address - Fax:804-282-5593
Practice Address - Street 1:6722 PATTERSON AVE STE A
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23226-3400
Practice Address - Country:US
Practice Address - Phone:804-282-5590
Practice Address - Fax:804-282-5593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-08
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAH03066000231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty