Provider Demographics
NPI:1760225189
Name:APOLLO AUDIOLOGY, LLC
Entity type:Organization
Organization Name:APOLLO AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:CAROLINE
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:205-936-0641
Mailing Address - Street 1:9629 DORTMUND DR SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35803-1113
Mailing Address - Country:US
Mailing Address - Phone:205-936-0641
Mailing Address - Fax:
Practice Address - Street 1:250 CHATEAU DR SW STE 216
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3497
Practice Address - Country:US
Practice Address - Phone:256-622-5618
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty