Provider Demographics
NPI:1184895237
Name:HEARING CENTERS OF WEST TENNESSEE, INC.
Entity type:Organization
Organization Name:HEARING CENTERS OF WEST TENNESSEE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:TACKETT
Authorized Official - Last Name:TURPEN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, FAAA
Authorized Official - Phone:901-842-4330
Mailing Address - Street 1:6242 POPLAR AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38119-4730
Mailing Address - Country:US
Mailing Address - Phone:901-842-4327
Mailing Address - Fax:901-842-4330
Practice Address - Street 1:6242 POPLAR AVE
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38119-4730
Practice Address - Country:US
Practice Address - Phone:901-842-4327
Practice Address - Fax:901-842-4330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-17
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNA167231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty