# GREENBRIER AUDIOLOGY AND HEARING AID SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114006087
- **Authorized official:** LAURA STOUT I M.S.,CCC-A (AUDIOLOGIST)
- **Authorized official phone:** (304) 465-3058

## Contact information

- **Practice address:** 150 DAWKINS DR, GREY ROCK PROFESSIONAL PARK, LEWISBURG, WV 24901-9302
- **Practice address phone:** (304) 647-4327
- **Practice address fax:** (304) 647-4331
- **Mailing address:** 150 DAWKINS DR, GREY ROCK PROFESSIONAL PARK, LEWISBURG, WV 24901-9302
- **Mailing address phone:** (304) 647-4327
- **Mailing address fax:** (304) 647-4331

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A-003 | WV | Yes |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0160752000 | — | WV |
