Provider Demographics
NPI:1518988773
Name:NORTHERN AUDIOLOGY ASSOCIATES INC
Entity Type:Organization
Organization Name:NORTHERN AUDIOLOGY ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER/AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-A
Authorized Official - Phone:561-742-7559
Mailing Address - Street 1:1325 S CONGRESS AVE
Mailing Address - Street 2:STE. 107
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-5876
Mailing Address - Country:US
Mailing Address - Phone:561-742-7559
Mailing Address - Fax:561-742-7957
Practice Address - Street 1:1325 S CONGRESS AVE
Practice Address - Street 2:STE. 107
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-5876
Practice Address - Country:US
Practice Address - Phone:561-742-7559
Practice Address - Fax:561-742-7957
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLJ8041OtherBLUE CROSS BLUE SHIELD
FL2497667OtherAETNA HMO NUMBER
FLK2239Medicare ID - Type UnspecifiedMEDICARE