Provider Demographics
NPI:1679011852
Name:CONLEY HEARING CARE, P.C.
Entity Type:Organization
Organization Name:CONLEY HEARING CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CONLEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:412-828-0250
Mailing Address - Street 1:1040 CORPORATE LANE
Mailing Address - Street 2:UNIT C
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15632
Mailing Address - Country:US
Mailing Address - Phone:412-828-0250
Mailing Address - Fax:412-828-0235
Practice Address - Street 1:1040 CORPORATE LANE
Practice Address - Street 2:UNIT C
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15632
Practice Address - Country:US
Practice Address - Phone:412-828-0250
Practice Address - Fax:412-828-0235
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-07
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT006275237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1912258229Medicaid