Provider Demographics
NPI:1487034740
Name:THE HEARING PLACE, LLC
Entity Type:Organization
Organization Name:THE HEARING PLACE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:GROMEL
Authorized Official - Suffix:
Authorized Official - Credentials:CCC-A
Authorized Official - Phone:570-759-1113
Mailing Address - Street 1:212 W FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BERWICK
Mailing Address - State:PA
Mailing Address - Zip Code:18603-4704
Mailing Address - Country:US
Mailing Address - Phone:570-759-1113
Mailing Address - Fax:570-759-1135
Practice Address - Street 1:212 W FRONT ST
Practice Address - Street 2:
Practice Address - City:BERWICK
Practice Address - State:PA
Practice Address - Zip Code:18603-4704
Practice Address - Country:US
Practice Address - Phone:570-759-1113
Practice Address - Fax:570-759-1135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-02
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000946L261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech