Provider Demographics
NPI:1457944803
Name:LIFE HEARING AND BALANCE LLC
Entity Type:Organization
Organization Name:LIFE HEARING AND BALANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF AUDIOLOGIST / FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:STOFIEL
Authorized Official - Suffix:
Authorized Official - Credentials:AU D, CCC-A, ABAC
Authorized Official - Phone:330-405-0550
Mailing Address - Street 1:10812 RAVENNA RD
Mailing Address - Street 2:
Mailing Address - City:TWINSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:44087-1016
Mailing Address - Country:US
Mailing Address - Phone:330-405-0550
Mailing Address - Fax:234-212-3965
Practice Address - Street 1:10812 RAVENNA RD
Practice Address - Street 2:
Practice Address - City:TWINSBURG
Practice Address - State:OH
Practice Address - Zip Code:44087-1016
Practice Address - Country:US
Practice Address - Phone:330-405-0550
Practice Address - Fax:234-212-3965
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-17
Last Update Date:2021-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty