Provider Demographics
NPI:1124301965
Name:SINGLETON, AUSTIN JACK (AUD)
Entity type:Individual
Prefix:DR
First Name:AUSTIN
Middle Name:JACK
Last Name:SINGLETON
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9071 S 1300 W
Mailing Address - Street 2:STE 100
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-6672
Mailing Address - Country:US
Mailing Address - Phone:801-938-1928
Mailing Address - Fax:866-961-3161
Practice Address - Street 1:9071 S 1300 W
Practice Address - Street 2:STE 100
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-6672
Practice Address - Country:US
Practice Address - Phone:801-938-1928
Practice Address - Fax:866-961-3161
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2014-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL147001406231H00000X
UT8106522-4101231H00000X
TX80442231H00000X
OK4168231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist