Provider Demographics
NPI:1639336407
Name:HEARING HELP AUDIOLOGY CLINIC INC
Entity Type:Organization
Organization Name:HEARING HELP AUDIOLOGY CLINIC INC
Other - Org Name:HEARING HELP AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FORS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:763-559-0603
Mailing Address - Street 1:12800 INDUSTRIAL PARK BLVD
Mailing Address - Street 2:#105
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55441-3974
Mailing Address - Country:US
Mailing Address - Phone:763-559-0603
Mailing Address - Fax:763-559-0985
Practice Address - Street 1:12800 INDUSTRIAL PARK BLVD
Practice Address - Street 2:#105
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55441-3974
Practice Address - Country:US
Practice Address - Phone:763-559-0603
Practice Address - Fax:763-559-0985
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-20
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN231H00000X231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty