Provider Demographics
NPI:1538878814
Name:CLEARFIELD AUDIOLOGY LLC
Entity type:Organization
Organization Name:CLEARFIELD AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEIGH
Authorized Official - Middle Name:
Authorized Official - Last Name:VALENZA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:814-205-4111
Mailing Address - Street 1:1212 TURNPIKE AVE
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:16830-3028
Mailing Address - Country:US
Mailing Address - Phone:814-205-4111
Mailing Address - Fax:814-205-4130
Practice Address - Street 1:1212 TURNPIKE AVE
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:PA
Practice Address - Zip Code:16830-3028
Practice Address - Country:US
Practice Address - Phone:814-761-7641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-16
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1972997575Medicaid