Provider Demographics
| NPI: | 1063671808 |
|---|---|
| Name: | PROGRESSIVE HEARING HEALTH, PA |
| Entity type: | Organization |
| Organization Name: | PROGRESSIVE HEARING HEALTH, PA |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | PRESIDENT |
| Authorized Official - Prefix: | DR |
| Authorized Official - First Name: | NEELESH |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | MEHENDALE |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | MD |
| Authorized Official - Phone: | 972-731-7654 |
| Mailing Address - Street 1: | 4401 COIT RD |
| Mailing Address - Street 2: | SUITE 411 |
| Mailing Address - City: | FRISCO |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 75035-0500 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 972-731-7654 |
| Mailing Address - Fax: | 972-731-6226 |
| Practice Address - Street 1: | 4401 COIT RD |
| Practice Address - Street 2: | SUITE 411 |
| Practice Address - City: | FRISCO |
| Practice Address - State: | TX |
| Practice Address - Zip Code: | 75035-0500 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 972-731-7654 |
| Practice Address - Fax: | 972-731-6226 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2008-06-06 |
| Last Update Date: | 2008-06-06 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 231HA2500X | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Supplier | Group - Single Specialty |