Provider Demographics
NPI:1598031650
Name:CRYSTAL CLRAR HEARING
Entity Type:Organization
Organization Name:CRYSTAL CLRAR HEARING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:L
Authorized Official - Last Name:ROBBINS
Authorized Official - Suffix:
Authorized Official - Credentials:BCHIS
Authorized Official - Phone:623-755-8733
Mailing Address - Street 1:13925 W MEEKER BLVD STE 19
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4432
Mailing Address - Country:US
Mailing Address - Phone:623-755-8733
Mailing Address - Fax:623-328-9757
Practice Address - Street 1:13925 W MEEKER BLVD STE 19
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4432
Practice Address - Country:US
Practice Address - Phone:623-755-8733
Practice Address - Fax:623-328-9757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHAD5414261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech