Provider Demographics
NPI:1538704044
Name:RED MAPLE AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:RED MAPLE AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ASHLEE
Authorized Official - Middle Name:HARRINGTON
Authorized Official - Last Name:VANDIVER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:207-224-0222
Mailing Address - Street 1:7 COBBLESTONE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:TURNER
Mailing Address - State:ME
Mailing Address - Zip Code:04282-3290
Mailing Address - Country:US
Mailing Address - Phone:207-224-0222
Mailing Address - Fax:207-224-0040
Practice Address - Street 1:7 COBBLESTONE DR UNIT 10
Practice Address - Street 2:
Practice Address - City:TURNER
Practice Address - State:ME
Practice Address - Zip Code:04282-3290
Practice Address - Country:US
Practice Address - Phone:207-224-0222
Practice Address - Fax:207-224-0040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-08
Last Update Date:2021-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology SupplierGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty