# WAVE AUDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wave Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265188817
- **Authorized official:** LINDSAY ELIZA GRACEY AUD (OWNER)
- **Authorized official phone:** (850) 661-4678

## Contact information

- **Practice address:** 543 NW LAKE WHITNEY PL STE 103, PORT SAINT LUCIE, FL 34986-1604
- **Practice address phone:** (772) 206-0648
- **Mailing address:** 543 NW LAKE WHITNEY PL STE 103, PORT SAINT LUCIE, FL 34986-1604
- **Mailing address phone:** (772) 206-0648

## Taxonomy

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

## Other

- **Enumeration date:** 02/22/2022
- **Last updated:** 04/28/2022