Provider Demographics
NPI:1528487014
Name:HEAR IN ARIZONA LLC
Entity type:Organization
Organization Name:HEAR IN ARIZONA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:928-284-2116
Mailing Address - Street 1:39506 N DAISY MOUNTAIN DR
Mailing Address - Street 2:122-624
Mailing Address - City:ANTHEM
Mailing Address - State:AZ
Mailing Address - Zip Code:85086-1663
Mailing Address - Country:US
Mailing Address - Phone:928-284-2116
Mailing Address - Fax:928-496-2122
Practice Address - Street 1:61 BELL ROCK PLZ
Practice Address - Street 2:STE B
Practice Address - City:SEDONA
Practice Address - State:AZ
Practice Address - Zip Code:86351-8810
Practice Address - Country:US
Practice Address - Phone:928-284-2116
Practice Address - Fax:928-496-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-10
Last Update Date:2015-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA1429237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ1528487014OtherGROUP NPI
AZ1013136753OtherINDIVIDUAL NPI