Provider Demographics
NPI:1649456112
Name:ALABAMA HEARING & BALANCE ASSOCIATES, INC.
Entity type:Organization
Organization Name:ALABAMA HEARING & BALANCE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:ROBERTS
Authorized Official - Suffix:SR
Authorized Official - Credentials:PHD
Authorized Official - Phone:251-970-3277
Mailing Address - Street 1:149 W PEACHTREE AVE
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2239
Mailing Address - Country:US
Mailing Address - Phone:251-970-3277
Mailing Address - Fax:
Practice Address - Street 1:149 W PEACHTREE AVE
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2239
Practice Address - Country:US
Practice Address - Phone:251-970-3277
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1009A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty