Provider Demographics
NPI:1013767813
Name:TOTAL AUDIOLOGY LLC
Entity Type:Organization
Organization Name:TOTAL AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:G
Authorized Official - Last Name:SOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-889-0795
Mailing Address - Street 1:2329 WILLOW VALE DR
Mailing Address - Street 2:
Mailing Address - City:FALLSTON
Mailing Address - State:MD
Mailing Address - Zip Code:21047-1504
Mailing Address - Country:US
Mailing Address - Phone:410-889-0795
Mailing Address - Fax:
Practice Address - Street 1:733 W 40TH ST STE 20
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-2107
Practice Address - Country:US
Practice Address - Phone:410-877-0795
Practice Address - Fax:877-766-8925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty