Provider Demographics
NPI:1851738389
Name:LINDA L DAVISON
Entity Type:Organization
Organization Name:LINDA L DAVISON
Other - Org Name:PROFESSIONAL HEARING HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVISON
Authorized Official - Suffix:
Authorized Official - Credentials:MACCC-A
Authorized Official - Phone:740-695-1058
Mailing Address - Street 1:205 SPRING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIRSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43950-8538
Mailing Address - Country:US
Mailing Address - Phone:740-695-1058
Mailing Address - Fax:740-695-0889
Practice Address - Street 1:205 SPRING PARK AVE
Practice Address - Street 2:
Practice Address - City:SAINT CLAIRSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43950-8538
Practice Address - Country:US
Practice Address - Phone:740-695-1058
Practice Address - Fax:740-695-0889
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-23
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty