Provider Demographics
NPI:1326779760
Name:DISCOVER AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:DISCOVER AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:NORVAL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:417-920-5434
Mailing Address - Street 1:1200 E WOODHURST DR STE Q100
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-4240
Mailing Address - Country:US
Mailing Address - Phone:417-920-5434
Mailing Address - Fax:417-886-2072
Practice Address - Street 1:1200 E WOODHURST DR STE Q100
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-4240
Practice Address - Country:US
Practice Address - Phone:417-920-5434
Practice Address - Fax:417-886-2072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-17
Last Update Date:2022-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty