Provider Demographics
NPI:1396824553
Name:SEAFORD AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:SEAFORD AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:FOXWELL
Authorized Official - Last Name:PARKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:302-629-8078
Mailing Address - Street 1:24488 SUSSEX HWY
Mailing Address - Street 2:STE. #4
Mailing Address - City:SEAFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19973-8470
Mailing Address - Country:US
Mailing Address - Phone:302-629-8078
Mailing Address - Fax:302-628-9055
Practice Address - Street 1:24488 SUSSEX HWY
Practice Address - Street 2:STE. #4
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-8470
Practice Address - Country:US
Practice Address - Phone:302-629-8078
Practice Address - Fax:302-628-9055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE231H00000X, 231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE505245OtherAETNA
DE0000308420Medicaid
DE27897OtherCOVENTRY
DE0000308420Medicaid