Organization Name: | CULPEPER HEARING CENTER LLC |
NPI Number: | 1104873942 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONNA MARIE MALLORY (OWNER) |
Mailing Address: | 2002 Orange Rd Suite 105 Culpeper |
State: | VA US |
Postal Code: | 227014170 |
Phone Number: | 5408299005 |
Fax Number: | |
NPI Enumeration Date: | 05/27/2006 |
NPI Last Update Date: | 07/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | 2201000649 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |