Provider Demographics
NPI:1609292390
Name:RESONANCE AUDIOLOGY AND HEARING AID CENTER, LLC
Entity Type:Organization
Organization Name:RESONANCE AUDIOLOGY AND HEARING AID CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZOE
Authorized Official - Middle Name:L
Authorized Official - Last Name:HORAN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:717-572-1302
Mailing Address - Street 1:406 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NEW HOLLAND
Mailing Address - State:PA
Mailing Address - Zip Code:17557-1410
Mailing Address - Country:US
Mailing Address - Phone:717-925-6112
Mailing Address - Fax:717-355-2138
Practice Address - Street 1:406 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEW HOLLAND
Practice Address - State:PA
Practice Address - Zip Code:17557-1410
Practice Address - Country:US
Practice Address - Phone:717-925-6112
Practice Address - Fax:717-355-2138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-05
Last Update Date:2018-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006216231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1609292390OtherNPI