Provider Demographics
NPI:1669049672
Name:PROFESSIONAL HEALTH AID CENTERS DBA-LISTEN HEAR
Entity type:Organization
Organization Name:PROFESSIONAL HEALTH AID CENTERS DBA-LISTEN HEAR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER/MANAGING
Authorized Official - Prefix:
Authorized Official - First Name:STACY
Authorized Official - Middle Name:
Authorized Official - Last Name:GARCIA
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS CA7440
Authorized Official - Phone:530-222-1330
Mailing Address - Street 1:916 E CYPRESS AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96002
Mailing Address - Country:US
Mailing Address - Phone:530-222-1330
Mailing Address - Fax:530-255-8563
Practice Address - Street 1:916 E. CYPRESS AVE STE #600
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002
Practice Address - Country:US
Practice Address - Phone:530-222-1330
Practice Address - Fax:530-255-8563
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty