Provider Demographics
NPI:1033239652
Name:SCALLAN HEARING AID & AUDIOLOGY CENTER INC
Entity type:Organization
Organization Name:SCALLAN HEARING AID & AUDIOLOGY CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:SCALLAN
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC A
Authorized Official - Phone:225-925-0373
Mailing Address - Street 1:8211 GOODWOOD BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:BATON ROUGE
Mailing Address - State:LA
Mailing Address - Zip Code:70806-7740
Mailing Address - Country:US
Mailing Address - Phone:225-925-0373
Mailing Address - Fax:225-925-9410
Practice Address - Street 1:8211 GOODWOOD BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:BATON ROUGE
Practice Address - State:LA
Practice Address - Zip Code:70806-7740
Practice Address - Country:US
Practice Address - Phone:225-925-0373
Practice Address - Fax:225-925-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA3866231HA2400X
LA271237700000X
LA1153237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
Not Answered237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty