Provider Demographics
NPI:1891339404
Name:AUDIOLOGY HEAR FOR YOU LLC
Entity Type:Organization
Organization Name:AUDIOLOGY HEAR FOR YOU LLC
Other - Org Name:AUDIOLOGY HEAR FOR YOU, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:ALEJANDRA
Authorized Official - Last Name:WUST
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:678-288-5448
Mailing Address - Street 1:4655 PORTSMOUTH LN
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-5814
Mailing Address - Country:US
Mailing Address - Phone:678-341-9958
Mailing Address - Fax:678-284-2770
Practice Address - Street 1:11555 MEDLOCK BRIDGE RD STE 100
Practice Address - Street 2:
Practice Address - City:JOHNS CREEK
Practice Address - State:GA
Practice Address - Zip Code:30097-3200
Practice Address - Country:US
Practice Address - Phone:678-288-5448
Practice Address - Fax:678-284-2770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-06
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty