Provider Demographics
NPI:1982289674
Name:S. AUSTIN, LLC
Entity Type:Organization
Organization Name:S. AUSTIN, LLC
Other - Org Name:SLA AUDIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:317-932-0099
Mailing Address - Street 1:563 WINDWOOD CT
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-9344
Mailing Address - Country:US
Mailing Address - Phone:317-932-0099
Mailing Address - Fax:317-933-1172
Practice Address - Street 1:480 E NORTHFIELD DR STE 600
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-2435
Practice Address - Country:US
Practice Address - Phone:317-932-0099
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-14
Last Update Date:2021-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty