Provider Demographics
NPI:1598978843
Name:AUDIOMETRIC ASSOCIATES, INC
Entity Type:Organization
Organization Name:AUDIOMETRIC ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:DOLAN
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:JR
Authorized Official - Credentials:AUD
Authorized Official - Phone:610-376-6990
Mailing Address - Street 1:301 S 7TH AVE
Mailing Address - Street 2:SUITE 305
Mailing Address - City:WEST READING
Mailing Address - State:PA
Mailing Address - Zip Code:19611-1410
Mailing Address - Country:US
Mailing Address - Phone:610-376-6990
Mailing Address - Fax:610-376-6458
Practice Address - Street 1:301 S 7TH AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:WEST READING
Practice Address - State:PA
Practice Address - Zip Code:19611-1410
Practice Address - Country:US
Practice Address - Phone:610-376-6990
Practice Address - Fax:610-376-6458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000077L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA02653400OtherCAPITAL BLUE CROSS
PA02653400OtherCAPITAL BLUE CROSS