Provider Demographics
NPI:1760944565
Name:HEARING AND AUDIOLOGY SEVICES, LLC
Entity Type:Organization
Organization Name:HEARING AND AUDIOLOGY SEVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:TERESE
Authorized Official - Last Name:GRBAC-SCHOMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:417-838-7697
Mailing Address - Street 1:1722 S GLENSTONE AVE STE J1
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-1530
Mailing Address - Country:US
Mailing Address - Phone:417-838-7697
Mailing Address - Fax:417-883-3015
Practice Address - Street 1:1722 S GLENSTONE AVE STE J1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65804-1530
Practice Address - Country:US
Practice Address - Phone:417-838-7697
Practice Address - Fax:417-883-3015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty