Provider Demographics
NPI:1134794837
Name:HAPPY EARS BALANCE CENTER
Entity type:Organization
Organization Name:HAPPY EARS BALANCE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DEWSNUP
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:623-428-0727
Mailing Address - Street 1:8877 W UNION HILLS DR STE 350
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-3026
Mailing Address - Country:US
Mailing Address - Phone:623-428-0727
Mailing Address - Fax:623-738-3918
Practice Address - Street 1:14757 W MOUNTAIN VIEW BLVD
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-2704
Practice Address - Country:US
Practice Address - Phone:623-227-1924
Practice Address - Fax:623-738-3913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty