Provider Demographics
NPI:1154375368
Name:SOUNDS OF THE VALLEY AUDIOLOGY, INC.
Entity type:Organization
Organization Name:SOUNDS OF THE VALLEY AUDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CORRIN
Authorized Official - Middle Name:ANGELA
Authorized Official - Last Name:STINE
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:970-879-4327
Mailing Address - Street 1:440 S LINCOLN AVE
Mailing Address - Street 2:SUITE B1
Mailing Address - City:STEAMBOAT SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487-8916
Mailing Address - Country:US
Mailing Address - Phone:970-879-4327
Mailing Address - Fax:970-879-7783
Practice Address - Street 1:440 S LINCOLN AVE
Practice Address - Street 2:SUITE B1
Practice Address - City:STEAMBOAT SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80487-8916
Practice Address - Country:US
Practice Address - Phone:970-879-4327
Practice Address - Fax:970-879-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC806024Medicare PIN