Provider Demographics
NPI:1841387016
Name:AUDIOLOGY AND HEARING AID CENTER OF GAINESVILLE, PLLC
Entity type:Organization
Organization Name:AUDIOLOGY AND HEARING AID CENTER OF GAINESVILLE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:MCCARTHY
Authorized Official - Last Name:BADUA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:703-754-0951
Mailing Address - Street 1:7340 HERITAGE VILLAGE PLAZA
Mailing Address - Street 2:SUITE 101
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20155
Mailing Address - Country:US
Mailing Address - Phone:703-754-0951
Mailing Address - Fax:703-754-8941
Practice Address - Street 1:7340 HERITAGE VILLAGE PLAZA
Practice Address - Street 2:SUITE 101
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20155
Practice Address - Country:US
Practice Address - Phone:703-754-0951
Practice Address - Fax:703-754-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty