Provider Demographics
NPI:1386114759
Name:FREEDOM AUDIOLOGY, PLLC
Entity type:Organization
Organization Name:FREEDOM AUDIOLOGY, PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER / AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:COLLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:CORDERY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:623-696-5817
Mailing Address - Street 1:15655 W ROOSEVELT ST STE 216
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-9342
Mailing Address - Country:US
Mailing Address - Phone:623-696-5817
Mailing Address - Fax:623-321-8009
Practice Address - Street 1:15655 W ROOSEVELT ST STE 216
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-9342
Practice Address - Country:US
Practice Address - Phone:623-696-5817
Practice Address - Fax:623-321-8009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-28
Last Update Date:2018-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty