Provider Demographics
NPI:1750983755
Name:OAKLAND HEARING ASSOCIATES PLLC
Entity type:Organization
Organization Name:OAKLAND HEARING ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:MELISSA
Authorized Official - Last Name:MCBRIEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-855-7530
Mailing Address - Street 1:6900 ORCHARD LAKE ROAD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48322
Mailing Address - Country:US
Mailing Address - Phone:248-855-7530
Mailing Address - Fax:248-855-5639
Practice Address - Street 1:6900 ORCHARD LAKE ROAD
Practice Address - Street 2:SUITE 314
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48322
Practice Address - Country:US
Practice Address - Phone:248-855-7530
Practice Address - Fax:248-855-5639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty