Provider Demographics
NPI:1972613263
Name:THE HEARING SHOPPE LLC
Entity Type:Organization
Organization Name:THE HEARING SHOPPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:ESTERLE
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:502-241-6519
Mailing Address - Street 1:7600 W HIGHWAY 146
Mailing Address - Street 2:SUITE 300
Mailing Address - City:PEWEE VALLEY
Mailing Address - State:KY
Mailing Address - Zip Code:40056-8109
Mailing Address - Country:US
Mailing Address - Phone:502-241-6519
Mailing Address - Fax:502-241-6589
Practice Address - Street 1:7600 W HIGHWAY 146
Practice Address - Street 2:SUITE 300
Practice Address - City:PEWEE VALLEY
Practice Address - State:KY
Practice Address - Zip Code:40056-8109
Practice Address - Country:US
Practice Address - Phone:502-241-6519
Practice Address - Fax:502-241-6589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0308231H00000X
KY0720237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
Not Answered237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty