Provider Demographics
NPI:1568606606
Name:AUBURN UNIVERSITY SPEECH & HEARING CLINIC
Entity Type:Organization
Organization Name:AUBURN UNIVERSITY SPEECH & HEARING CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD ADMIN. ASST
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:J
Authorized Official - Last Name:HEAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-844-9600
Mailing Address - Street 1:1199 HALEY CENTER
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:AL
Mailing Address - Zip Code:36849-5232
Mailing Address - Country:US
Mailing Address - Phone:334-844-9600
Mailing Address - Fax:334-844-4585
Practice Address - Street 1:1199 HALEY CENTER
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:AL
Practice Address - Zip Code:36849-5232
Practice Address - Country:US
Practice Address - Phone:334-844-9600
Practice Address - Fax:334-844-4585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL20732355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language AssistantGroup - Single Specialty