Provider Demographics
NPI:1861535064
Name:LISTEN AND LEARN AUDITORY-VERBAL COMMUNICATION CENTER, INC.
Entity type:Organization
Organization Name:LISTEN AND LEARN AUDITORY-VERBAL COMMUNICATION CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:BOUCHER
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CED, CCC-SLP,
Authorized Official - Phone:317-894-5554
Mailing Address - Street 1:412 NOBBE LN
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46239-9469
Mailing Address - Country:US
Mailing Address - Phone:317-894-5554
Mailing Address - Fax:317-894-5554
Practice Address - Street 1:412 NOBBE LN
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46239-9469
Practice Address - Country:US
Practice Address - Phone:317-894-5554
Practice Address - Fax:317-894-5554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN22002251A261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech