Provider Demographics
NPI:1841073004
Name:HOLISTIC AUDIOLOGY
Entity type:Organization
Organization Name:HOLISTIC AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUCH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:520-825-4770
Mailing Address - Street 1:2542 E VISTOSO COMMERCE LOOP
Mailing Address - Street 2:
Mailing Address - City:ORO VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85755-9123
Mailing Address - Country:US
Mailing Address - Phone:520-825-4770
Mailing Address - Fax:520-825-4279
Practice Address - Street 1:2542 E VISTOSO COMMERCE LOOP
Practice Address - Street 2:
Practice Address - City:ORO VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85755-9123
Practice Address - Country:US
Practice Address - Phone:520-825-4770
Practice Address - Fax:520-825-4279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty