Provider Demographics
NPI:1104954643
Name:HEARING HEALTH CARE OF LA
Entity type:Organization
Organization Name:HEARING HEALTH CARE OF LA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:TEMPLET
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:225-387-3208
Mailing Address - Street 1:4273 NORTH BLVD
Mailing Address - Street 2:
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-3914
Mailing Address - Country:US
Mailing Address - Phone:225-387-3208
Mailing Address - Fax:225-387-3266
Practice Address - Street 1:4273 NORTH BLVD
Practice Address - Street 2:
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-3914
Practice Address - Country:US
Practice Address - Phone:225-387-3208
Practice Address - Fax:225-387-3266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA917237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty