Provider Demographics
NPI:1376246967
Name:SEATTLE AUDIOLOGY SERVICES, PLLC
Entity Type:Organization
Organization Name:SEATTLE AUDIOLOGY SERVICES, PLLC
Other - Org Name:SEATTLE AUDITORY PROCESSING SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CARLOTTA
Authorized Official - Last Name:AL-IZZI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:425-998-7752
Mailing Address - Street 1:10651 RUSTIC RD S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98178-2649
Mailing Address - Country:US
Mailing Address - Phone:425-998-7752
Mailing Address - Fax:
Practice Address - Street 1:9730 3RD AVE NE STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-2023
Practice Address - Country:US
Practice Address - Phone:206-395-5067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty