Provider Demographics
NPI:1699438218
Name:VANDERHART, AURORA NEESON (LHIS)
Entity type:Individual
Prefix:
First Name:AURORA
Middle Name:NEESON
Last Name:VANDERHART
Suffix:
Gender:F
Credentials:LHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 44TH ST SW
Mailing Address - Street 2:
Mailing Address - City:GRANDVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49418-2177
Mailing Address - Country:US
Mailing Address - Phone:616-457-6100
Mailing Address - Fax:616-457-6101
Practice Address - Street 1:38 44TH ST SW
Practice Address - Street 2:
Practice Address - City:GRANDVILLE
Practice Address - State:MI
Practice Address - Zip Code:49418-2177
Practice Address - Country:US
Practice Address - Phone:616-457-6100
Practice Address - Fax:616-457-6101
Is Sole Proprietor?:No
Enumeration Date:2021-10-20
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI35020101722355A2700X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology Assistant