Provider Demographics
NPI:1316592710
Name:ALBERTUS, HAYDEN DOUGHERTY (AUD)
Entity Type:Individual
Prefix:
First Name:HAYDEN
Middle Name:DOUGHERTY
Last Name:ALBERTUS
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:HAYDEN
Other - Middle Name:
Other - Last Name:DOUGHERTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:4760 E GALBRAITH RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-6704
Mailing Address - Country:US
Mailing Address - Phone:513-936-0500
Mailing Address - Fax:513-936-0600
Practice Address - Street 1:4760 E GALBRAITH RD STE 108
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-6704
Practice Address - Country:US
Practice Address - Phone:513-936-0500
Practice Address - Fax:513-936-0600
Is Sole Proprietor?:No
Enumeration Date:2019-08-03
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA.02194231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist