Provider Demographics
NPI:1568205243
Name:SQC HEARING LLC
Entity type:Organization
Organization Name:SQC HEARING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAINA
Authorized Official - Middle Name:D
Authorized Official - Last Name:BECKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:813-922-2119
Mailing Address - Street 1:4040 UPPER CREEK DR STE 105
Mailing Address - Street 2:
Mailing Address - City:SUN CITY CENTER
Mailing Address - State:FL
Mailing Address - Zip Code:33573-6844
Mailing Address - Country:US
Mailing Address - Phone:813-922-2119
Mailing Address - Fax:813-804-3845
Practice Address - Street 1:4040 UPPER CREEK DR STE 105
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6844
Practice Address - Country:US
Practice Address - Phone:813-970-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty