Provider Demographics
NPI:1518078690
Name:FAMILY HEARING CENTER, INC.
Entity Type:Organization
Organization Name:FAMILY HEARING CENTER, INC.
Other - Org Name:FAMILY HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BOARD CERTIFIED DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:MS
Authorized Official - First Name:SUE
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:865-588-3511
Mailing Address - Street 1:105 NORTHVIEW ST
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5102
Mailing Address - Country:US
Mailing Address - Phone:865-588-3511
Mailing Address - Fax:865-588-2486
Practice Address - Street 1:105 NORTHVIEW ST
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5102
Practice Address - Country:US
Practice Address - Phone:865-588-3511
Practice Address - Fax:865-588-2486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0111231H00000X, 231HA2400X, 231HA2500X, 235Z00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Single Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN31921461OtherMEDICARE PTAN: