Provider Demographics
NPI:1841431046
Name:COMPLIMENT, ANDREW (AUD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:COMPLIMENT
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:IRONTON
Mailing Address - State:OH
Mailing Address - Zip Code:45638-0672
Mailing Address - Country:US
Mailing Address - Phone:740-442-1444
Mailing Address - Fax:
Practice Address - Street 1:895 COUNTY ROAD 24
Practice Address - Street 2:
Practice Address - City:IRONTON
Practice Address - State:OH
Practice Address - Zip Code:45638-2985
Practice Address - Country:US
Practice Address - Phone:740-442-1444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2009-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHA. 01472231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist