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SOUTHBURY AUDIOLOGY LLC NPI 1932575610


NPI Information

NPI: 1932575610
Provider Name: SOUTHBURY AUDIOLOGY LLC

Former Legal Business Name: CATHLEEN A ALEX AUD LLC (SOLE MEMBER LLC)

Classification: Audiologist - 231H00000X
Entity Type: Organization
Address:
2 POMPERAUG OFFICE PARK
SUITE 307
SOUTHBURY, CT
ZIP 06488
Phone: (203) 264-8201
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SOUTHBURY AUDIOLOGY LLC is an audiologist in Southbury, CT. The provider is (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master's degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. SOUTHBURY AUDIOLOGY LLC NPI is 1932575610. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Cathleen A Alex Aud Llc (sole Member Llc).

The provider's business location address is:

2 POMPERAUG OFFICE PARK
SUITE 307
SOUTHBURY, CT
ZIP 06488-288
Phone: (203) 264-8201
Fax: (203) 264-8201

The provider's authorized official is Cathleen Anne Alex .
The authorized official title is Sole Member Owner Llc and has the following contact phone number (203) 264-8201.

The enumeration date for this NPI number is 8/17/2015 and was last updated on 4/25/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1231H00000XAudiologist109CONNECTICUTYes
2231HA2400XAudiologistAssistive Technology Practitioner109CONNECTICUTNo
3231HA2500XAudiologistAssistive Technology Supplier109CONNECTICUTNo
4237600000XAudiologist-Hearing Aid Fitter109CONNECTICUTNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14048864MEDICAIDCONNECTICUT
20123218OTHERCONNECTICUTAETNA
34048674MEDICAIDCONNECTICUT
4001376523-001OTHERCONNECTICUTUNITED HEALTH CARE
5P442727OTHERCONNECTICUTOXFORD
6724745OTHERCONNECTICUTCONNECTICARE
7730000109CT01OTHERCONNECTICUTANTHEM BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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