# PROFESSIONAL AUDIOLOGICAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1710239967
- **Authorized official:** LORETTA COLTHARP MORTON AU.D. (PRESIDENT)
- **Authorized official phone:** (901) 372-0040

## Contact information

- **Practice address:** 5118 STAGE RD, MEMPHIS, TN 38134-3166
- **Practice address phone:** (901) 372-0040
- **Practice address fax:** (901) 372-8685
- **Mailing address:** 5108 STAGE RD, MEMPHIS, TN 38134-3164
- **Mailing address phone:** (901) 372-0040
- **Mailing address fax:** (901) 372-8685

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231HA2500X | Assistive Technology Supplier Audiologist | A103 | TN | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | A103 | TN | — |

## Other

- **Enumeration date:** 10/12/2012
- **Last updated:** 10/12/2012