Provider Demographics
NPI:1578601514
Name:TUBERTINI, ANDREW P (AUD, CCC-A, AAA)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:P
Last Name:TUBERTINI
Suffix:
Gender:M
Credentials:AUD, CCC-A, AAA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 LOTTIE LN STE 2
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-7309
Mailing Address - Country:US
Mailing Address - Phone:251-990-0535
Mailing Address - Fax:251-990-0538
Practice Address - Street 1:101 LOTTIE LN STE 2
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-7309
Practice Address - Country:US
Practice Address - Phone:251-990-0535
Practice Address - Fax:251-990-0538
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0983A237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL102I642748OtherMEDICARE