Provider Demographics
NPI:1720237597
Name:WHITNEY SWANDER AUDIOLOGY, INC
Entity Type:Organization
Organization Name:WHITNEY SWANDER AUDIOLOGY, INC
Other - Org Name:HEARING HEALTHCARE CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PROVIDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:WHITNEY
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:SWANDER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD CCC-A FAAA
Authorized Official - Phone:303-776-8748
Mailing Address - Street 1:1315 VIVIAN ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3216
Mailing Address - Country:US
Mailing Address - Phone:303-776-8748
Mailing Address - Fax:303-684-9915
Practice Address - Street 1:1315 VIVIAN ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3216
Practice Address - Country:US
Practice Address - Phone:303-776-8748
Practice Address - Fax:303-684-9915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-16
Last Update Date:2022-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO302231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty