Provider Demographics
NPI:1174760284
Name:SOUND ADVICE HEARING AIDS & AUDIOLOGY, LLC
Entity type:Organization
Organization Name:SOUND ADVICE HEARING AIDS & AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONI
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:TEDESCO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:734-838-9990
Mailing Address - Street 1:36111 PLYMOUTH ROAD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150
Mailing Address - Country:US
Mailing Address - Phone:734-838-9990
Mailing Address - Fax:734-838-9991
Practice Address - Street 1:36111 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48150-1400
Practice Address - Country:US
Practice Address - Phone:734-838-9990
Practice Address - Fax:734-838-9991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-12
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty