Provider Demographics
NPI:1912626201
Name:ALLEN AUDIOLOGY LLC
Entity type:Organization
Organization Name:ALLEN AUDIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:J
Authorized Official - Last Name:KUCSAN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC-A
Authorized Official - Phone:610-439-1196
Mailing Address - Street 1:101 N CEDAR CREST BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-4769
Mailing Address - Country:US
Mailing Address - Phone:610-439-1196
Mailing Address - Fax:610-434-2200
Practice Address - Street 1:101 N CEDAR CREST BLVD
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-4769
Practice Address - Country:US
Practice Address - Phone:610-439-1196
Practice Address - Fax:610-434-2200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
No332S00000XSuppliersHearing Aid Equipment