Provider Demographics
NPI:1720653124
Name:MERIDIAN AUDIOLOGY
Entity Type:Organization
Organization Name:MERIDIAN AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:WYSS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:317-522-7076
Mailing Address - Street 1:911 E 86TH ST STE 35
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46240-1840
Mailing Address - Country:US
Mailing Address - Phone:317-522-7076
Mailing Address - Fax:
Practice Address - Street 1:911 E 86TH ST STE 35
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46240-1840
Practice Address - Country:US
Practice Address - Phone:317-731-5386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-26
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech