# COLONIAL CENTER FOR HEARING INC

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

## Provider details

- **NPI number:** 1114105616
- **Authorized official:** MS. LUCIA LIPTAKOVA (OFFICE MANAGER)
- **Authorized official phone:** (757) 229-4004

## Contact information

- **Practice address:** 430 MCLAWS CIR, STE 101, WILLIAMSBURG, VA 23185-5655
- **Practice address phone:** (757) 229-4004
- **Practice address fax:** (757) 229-9992
- **Mailing address:** 430 MCLAWS CIR, STE 101, WILLIAMSBURG, VA 23185-5655
- **Mailing address phone:** (757) 229-4004
- **Mailing address fax:** (757) 229-9992

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | — | NULL | Yes |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 02/06/2008
- **Last updated:** 05/06/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 169589 | ANTHEM | VA |