Provider Demographics
NPI:1710295886
Name:AUDIOLOGY HEAR AGAIN LLC
Entity Type:Organization
Organization Name:AUDIOLOGY HEAR AGAIN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DARE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:541-884-4428
Mailing Address - Street 1:1665 DAYTON ST
Mailing Address - Street 2:
Mailing Address - City:KLAMATH FALLS
Mailing Address - State:OR
Mailing Address - Zip Code:97603-3805
Mailing Address - Country:US
Mailing Address - Phone:541-884-4428
Mailing Address - Fax:541-850-3847
Practice Address - Street 1:1665 DAYTON ST
Practice Address - Street 2:
Practice Address - City:KLAMATH FALLS
Practice Address - State:OR
Practice Address - Zip Code:97603-3805
Practice Address - Country:US
Practice Address - Phone:541-884-4428
Practice Address - Fax:541-850-3847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR21035231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty