Provider Demographics
NPI:1417761701
Name:PRIORITY CARE AUDIOLOGY
Entity type:Organization
Organization Name:PRIORITY CARE AUDIOLOGY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHANDONAIS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:586-405-3049
Mailing Address - Street 1:114 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:MC KEES ROCKS
Mailing Address - State:PA
Mailing Address - Zip Code:15136-1350
Mailing Address - Country:US
Mailing Address - Phone:586-405-3049
Mailing Address - Fax:
Practice Address - Street 1:541 CLEVER RD
Practice Address - Street 2:
Practice Address - City:MC KEES ROCKS
Practice Address - State:PA
Practice Address - Zip Code:15136-1068
Practice Address - Country:US
Practice Address - Phone:412-239-9148
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty