Provider Demographics
NPI:1568023588
Name:ADVANCED AUDIOLOGY AND HEARING AIDS, LLC
Entity Type:Organization
Organization Name:ADVANCED AUDIOLOGY AND HEARING AIDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:JERRILYN
Authorized Official - Middle Name:TURNER
Authorized Official - Last Name:FRASIER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:318-251-1572
Mailing Address - Street 1:1503 GOODWIN RD STE 205
Mailing Address - Street 2:
Mailing Address - City:RUSTON
Mailing Address - State:LA
Mailing Address - Zip Code:71270-2938
Mailing Address - Country:US
Mailing Address - Phone:318-251-1572
Mailing Address - Fax:318-251-1572
Practice Address - Street 1:1503 GOODWIN RD STE 205
Practice Address - Street 2:
Practice Address - City:RUSTON
Practice Address - State:LA
Practice Address - Zip Code:71270-2938
Practice Address - Country:US
Practice Address - Phone:318-251-1572
Practice Address - Fax:318-251-1572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-21
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty