Provider Demographics
NPI:1710224316
Name:ARIZONA AUDIOLOGY & HEARING, INC.
Entity Type:Organization
Organization Name:ARIZONA AUDIOLOGY & HEARING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:J
Authorized Official - Last Name:LOWE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:623-214-8085
Mailing Address - Street 1:13540 W. CAMINO DEL SOL STE 20
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375
Mailing Address - Country:US
Mailing Address - Phone:628-214-8085
Mailing Address - Fax:623-214-8202
Practice Address - Street 1:13540 W. CAMINO DEL SOL #20
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375
Practice Address - Country:US
Practice Address - Phone:628-214-8085
Practice Address - Fax:623-214-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBHAD8157237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty