Provider Demographics
NPI:1669918306
Name:HUFFMAN, ANDREW
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 MITCHELL CT
Mailing Address - Street 2:
Mailing Address - City:EVANSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47715-6227
Mailing Address - Country:US
Mailing Address - Phone:812-870-4747
Mailing Address - Fax:812-473-6000
Practice Address - Street 1:1211 TUTOR LN
Practice Address - Street 2:
Practice Address - City:EVANSVILLE
Practice Address - State:IN
Practice Address - Zip Code:47715-9115
Practice Address - Country:US
Practice Address - Phone:812-473-8000
Practice Address - Fax:812-473-6000
Is Sole Proprietor?:No
Enumeration Date:2017-01-18
Last Update Date:2017-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17001352A237700000X
IN17001465A237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist