# MTC OF INDIANA, LTD.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lafayette Hearing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417279472
- **Authorized official:** SUSAN M. TAULIA (OWNER)
- **Authorized official phone:** (765) 448-6226

## Contact information

- **Practice address:** 823 PARK EAST BLVD, LAFAYETTE, IN 47905-0787
- **Practice address phone:** (765) 448-6226
- **Practice address fax:** (765) 448-9416
- **Mailing address:** 823 PARK EAST BLVD, LAFAYETTE, IN 47905-0787
- **Mailing address phone:** (765) 448-6226
- **Mailing address fax:** (765) 448-9416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 23001132A | IN | — |
| 231H00000X | Audiologist | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2010
- **Last updated:** 01/13/2020