Provider Demographics
NPI:1417182999
Name:HEAR FOR LIFE HEARING CENTERS
Entity Type:Organization
Organization Name:HEAR FOR LIFE HEARING CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:435-787-8895
Mailing Address - Street 1:1515 N 400 E
Mailing Address - Street 2:SUITE 105
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-7561
Mailing Address - Country:US
Mailing Address - Phone:435-787-8895
Mailing Address - Fax:435-787-8654
Practice Address - Street 1:1515 N 400 E
Practice Address - Street 2:SUITE 105
Practice Address - City:LOGAN
Practice Address - State:UT
Practice Address - Zip Code:84341-7561
Practice Address - Country:US
Practice Address - Phone:435-787-8895
Practice Address - Fax:435-787-8654
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty