Provider Demographics
NPI:1750673406
Name:HEARING & AUDIOLOGY SERVICES, P.A.
Entity Type:Organization
Organization Name:HEARING & AUDIOLOGY SERVICES, P.A.
Other - Org Name:HEARING & AUDIOLOGY SERVICES, P.A.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RHEA
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:GAGE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:919-834-4327
Mailing Address - Street 1:6675-117 FALLS OF NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-834-4327
Mailing Address - Fax:
Practice Address - Street 1:6675 FALLS OF NEUSE RD STE 117
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615-6803
Practice Address - Country:US
Practice Address - Phone:919-834-4432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty