# SOUTH SOUND AUDIOLOYG LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1699874347
- **Authorized official:** JULIE K VANAUSDAL M.S. CCC-A (MANAGING MEMBER)
- **Authorized official phone:** (360) 789-0097

## Contact information

- **Practice address:** 4444 LACEY BLVD SE, LACEY, WA 98503-5730
- **Practice address phone:** (360) 528-2022
- **Mailing address:** 4444 LACEY BLVD SE, A, LACEY, WA 98503-5730
- **Mailing address phone:** (360) 528-2022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | LD00001726 | WA | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 11/09/2017