Provider Demographics
NPI:1508018623
Name:EXPERT HEARING & AUDIOLOGY, INC.
Entity Type:Organization
Organization Name:EXPERT HEARING & AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MATSUI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-294-4327
Mailing Address - Street 1:750 MAIN ST
Mailing Address - Street 2:SUITE 106
Mailing Address - City:MENDOTA HEIGHTS
Mailing Address - State:MN
Mailing Address - Zip Code:55118-3764
Mailing Address - Country:US
Mailing Address - Phone:651-225-4327
Mailing Address - Fax:651-225-4332
Practice Address - Street 1:18315 CASCADE DR
Practice Address - Street 2:SUITE 100
Practice Address - City:EDEN PRAIRIE
Practice Address - State:MN
Practice Address - Zip Code:55347-1180
Practice Address - Country:US
Practice Address - Phone:952-294-4327
Practice Address - Fax:952-294-1027
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EXPERT HEARING & AUDIOLOGY, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-21
Last Update Date:2013-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7824231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty