Provider Demographics
NPI:1609025220
Name:ANDREW, CLEONA (AUD)
Entity Type:Individual
Prefix:DR
First Name:CLEONA
Middle Name:
Last Name:ANDREW
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5303 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79414-5823
Mailing Address - Country:US
Mailing Address - Phone:806-799-8950
Mailing Address - Fax:806-799-8939
Practice Address - Street 1:612 10TH ST
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-6770
Practice Address - Country:US
Practice Address - Phone:575-437-2926
Practice Address - Fax:575-437-3352
Is Sole Proprietor?:No
Enumeration Date:2008-09-18
Last Update Date:2019-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMAUD1432237600000X
NM1432231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist