Provider Demographics
NPI:1689214678
Name:AUDIOLOGIC HEARING AIDS
Entity Type:Organization
Organization Name:AUDIOLOGIC HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POSTON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:814-688-9136
Mailing Address - Street 1:808 PA AVE W
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:PA
Mailing Address - Zip Code:16365-1882
Mailing Address - Country:US
Mailing Address - Phone:814-688-3055
Mailing Address - Fax:
Practice Address - Street 1:808 PA AVE W
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:PA
Practice Address - Zip Code:16365-1882
Practice Address - Country:US
Practice Address - Phone:814-688-3055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-08
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty