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NPI 1073580817 · live from the CMS NPI Registry

Princeton Audiology Clinic, INC.,

Hearing Aid Equipment in Princeton, WV. National Provider Identifier 1073580817, active.

NPI record

NPI1073580817 Type 2 · organization
StatusActive
Primary specialtyHearing Aid Equipment 332S00000X
Practice location508 New Hope Road, Suite #19, Princeton, WV 24740
Practice phone304-487-2487
EnumeratedMarch 1, 2006
Last updatedJune 5, 2013
Authorized officialAlan Desmond, President
Other namesDba Blue Ridge Hearing And Balance Clinic

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist231H00000X—
Speech-Language Pathologist, 235Z00000X—
Hearing Aid Equipment primary332S00000X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.