Provider Demographics
NPI:1730549494
Name:SOUND ON AUDIOLOGY, LLC
Entity type:Organization
Organization Name:SOUND ON AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:L
Authorized Official - Last Name:LEVENTHAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCCA, FAAA
Authorized Official - Phone:561-469-9846
Mailing Address - Street 1:11380 PROSPERITY FARMS RD
Mailing Address - Street 2:210 B
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-3474
Mailing Address - Country:US
Mailing Address - Phone:561-469-9846
Mailing Address - Fax:561-469-9845
Practice Address - Street 1:11380 PROSPERITY FARMS RD
Practice Address - Street 2:210 B
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3474
Practice Address - Country:US
Practice Address - Phone:561-469-9846
Practice Address - Fax:561-469-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-24
Last Update Date:2016-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAY911231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty