Provider Demographics
NPI:1538407085
Name:ARIZONA AUDIOLOGY & HEARING, INC.
Entity type:Organization
Organization Name:ARIZONA AUDIOLOGY & HEARING, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:M
Authorized Official - Last Name:NUCATOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-214-8085
Mailing Address - Street 1:13540 W CAMINO DEL SOL STE 20
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4472
Mailing Address - Country:US
Mailing Address - Phone:623-214-8085
Mailing Address - Fax:623-214-8202
Practice Address - Street 1:13540 W CAMINO DEL SOL STE 20
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4472
Practice Address - Country:US
Practice Address - Phone:623-214-8085
Practice Address - Fax:623-214-8202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZBHAD8157261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech