Provider Demographics
NPI:1942325527
Name:AUDIOLOGY ASSOCIATES INC.
Entity Type:Organization
Organization Name:AUDIOLOGY ASSOCIATES INC.
Other - Org Name:AUDIOLOGY ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:SEGEV
Authorized Official - Suffix:
Authorized Official - Credentials:AU D
Authorized Official - Phone:410-266-6444
Mailing Address - Street 1:3615 E. JOPPA ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PARKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21234
Mailing Address - Country:US
Mailing Address - Phone:410-944-3100
Mailing Address - Fax:866-643-0039
Practice Address - Street 1:3615 E. JOPPA ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:PARKVILLE
Practice Address - State:MD
Practice Address - Zip Code:21234
Practice Address - Country:US
Practice Address - Phone:410-944-3100
Practice Address - Fax:866-643-0039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD00128174400000X
MD231H00000X, 231HA2400X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD763108100Medicaid
MD150LMedicare UPIN