Provider Demographics
NPI:1639759962
Name:RISE AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:RISE AUDIOLOGY, LLC
Other - Org Name:LIVE BETTER HEARING & BALANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:CUSHING
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:301-742-7780
Mailing Address - Street 1:65 W STREET RD STE B104
Mailing Address - Street 2:
Mailing Address - City:WARMINSTER
Mailing Address - State:PA
Mailing Address - Zip Code:18974-3216
Mailing Address - Country:US
Mailing Address - Phone:215-672-4327
Mailing Address - Fax:215-672-4337
Practice Address - Street 1:65 W STREET RD STE B104
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-3216
Practice Address - Country:US
Practice Address - Phone:215-672-4327
Practice Address - Fax:215-672-4337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-12
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty