Provider Demographics
NPI:1326622440
Name:PROFESSIONAL HEARING SOLUTIONS
Entity Type:Organization
Organization Name:PROFESSIONAL HEARING SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:GILLISPIE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:304-784-2552
Mailing Address - Street 1:375 DEER RUN
Mailing Address - Street 2:
Mailing Address - City:SUMERCO
Mailing Address - State:WV
Mailing Address - Zip Code:25567-9541
Mailing Address - Country:US
Mailing Address - Phone:304-784-2552
Mailing Address - Fax:304-756-3818
Practice Address - Street 1:2150 CHILDRESS RD
Practice Address - Street 2:
Practice Address - City:ALUM CREEK
Practice Address - State:WV
Practice Address - Zip Code:25003-9546
Practice Address - Country:US
Practice Address - Phone:304-784-2552
Practice Address - Fax:304-756-3818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-06
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty