Provider Demographics
NPI:1932483955
Name:SOUTHLAND HEARING AIDS & AUDIOLOGY, LLC
Entity Type:Organization
Organization Name:SOUTHLAND HEARING AIDS & AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AUDIOLOGIST/ PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:B
Authorized Official - Last Name:MCKINNEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:614-442-7680
Mailing Address - Street 1:5920 WILCOX PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-6802
Mailing Address - Country:US
Mailing Address - Phone:614-442-7680
Mailing Address - Fax:614-568-3318
Practice Address - Street 1:5920 WILCOX PL
Practice Address - Street 2:SUITE B
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-6802
Practice Address - Country:US
Practice Address - Phone:614-442-7680
Practice Address - Fax:614-568-3318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-10
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH01684231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty