Provider Demographics
NPI:1639251796
Name:OCEANBRIDGE COMMUNICATIONS INC
Entity Type:Organization
Organization Name:OCEANBRIDGE COMMUNICATIONS INC
Other - Org Name:LIEBNER AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LIEBNER
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-358-4666
Mailing Address - Street 1:35 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9037
Mailing Address - Country:US
Mailing Address - Phone:610-358-4666
Mailing Address - Fax:610-358-4666
Practice Address - Street 1:35 SUMMIT AVE
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9037
Practice Address - Country:US
Practice Address - Phone:610-358-4666
Practice Address - Fax:610-358-4666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT000461L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1154155OtherKEYSTONE MERCY
PA00294019OtherHIGHMARK
PA0461605000Medicaid
PA01650378-01OtherAETNA US HEALTHCARE
PALI294019Medicare ID - Type Unspecified