Provider Demographics
NPI:1356931505
Name:AUDIO-LOGIC CONSULTANTS, LLC
Entity type:Organization
Organization Name:AUDIO-LOGIC CONSULTANTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:INGRID
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCBRIDE
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:602-578-9541
Mailing Address - Street 1:7353 E SAYAN ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-1821
Mailing Address - Country:US
Mailing Address - Phone:602-578-9541
Mailing Address - Fax:
Practice Address - Street 1:7353 E SAYAN ST
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-1821
Practice Address - Country:US
Practice Address - Phone:602-578-9541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-21
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty