Provider Demographics
NPI:1376246967
Name:SEATTLE AUDIOLOGY SERVICES PLLC
Entity type:Organization
Organization Name:SEATTLE AUDIOLOGY SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:CARLOTTA
Authorized Official - Last Name:AL-IZZI
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:425-998-7752
Mailing Address - Street 1:12911 120TH AVE NE STE E40
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3045
Mailing Address - Country:US
Mailing Address - Phone:425-821-6600
Mailing Address - Fax:425-821-6602
Practice Address - Street 1:12911 120TH AVE NE STE E40
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3045
Practice Address - Country:US
Practice Address - Phone:425-821-6600
Practice Address - Fax:425-821-6602
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-23
Last Update Date:2025-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty