Provider Demographics
NPI:1710137286
Name:AUDIOLOGICAL COMMUNCATION CONSULTANTS,LLC
Entity Type:Organization
Organization Name:AUDIOLOGICAL COMMUNCATION CONSULTANTS,LLC
Other - Org Name:AUDIOLOGY OF NEW BERN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:JOSEPH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:252-635-5005
Mailing Address - Street 1:2859 TRENT ROAD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-2029
Mailing Address - Country:US
Mailing Address - Phone:252-635-5005
Mailing Address - Fax:252-635-5005
Practice Address - Street 1:2859 TRENT RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-2029
Practice Address - Country:US
Practice Address - Phone:252-635-5005
Practice Address - Fax:252-635-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-22
Last Update Date:2009-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1189237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
203921712OtherTRICARE
47497OtherBLUE CROSS BLUE SHIELD
611873400OtherDEPARTMENT OF LABOR
NC7412921Medicaid