Provider Demographics
NPI:1598064875
Name:AUDIOLOGY DOCTORS OF PENNSYLVANIA INC.
Entity type:Organization
Organization Name:AUDIOLOGY DOCTORS OF PENNSYLVANIA INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:M
Authorized Official - Last Name:HRUTKAY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:888-740-7581
Mailing Address - Street 1:1038 MAPLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CANONSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15317-6056
Mailing Address - Country:US
Mailing Address - Phone:888-740-7581
Mailing Address - Fax:
Practice Address - Street 1:1038 MAPLEWOOD DR
Practice Address - Street 2:
Practice Address - City:CANONSBURG
Practice Address - State:PA
Practice Address - Zip Code:15317-6056
Practice Address - Country:US
Practice Address - Phone:888-740-7581
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-25
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAT-000961L231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty