Provider Demographics
NPI:1538409412
Name:AHL AUDIOLOGY, LLC.
Entity type:Organization
Organization Name:AHL AUDIOLOGY, LLC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:HARRIS
Authorized Official - Last Name:LANGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:512-879-3993
Mailing Address - Street 1:3202 W ANDERSON LN
Mailing Address - Street 2:SUITE 208
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1035
Mailing Address - Country:US
Mailing Address - Phone:512-879-3993
Mailing Address - Fax:512-920-5462
Practice Address - Street 1:3202 W ANDERSON LN
Practice Address - Street 2:SUITE 208
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1035
Practice Address - Country:US
Practice Address - Phone:512-879-3993
Practice Address - Fax:512-920-5462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-28
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80309237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty