# AUDIOLOGY AND HEARING AID SERVICES, INC

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

## Provider details

- **NPI number:** 1760608152
- **Authorized official:** DR. VINCENT LUSTIG PH.D, CCC-A (AUDIOLOGIST)
- **Authorized official phone:** (304) 345-8522

## Contact information

- **Practice address:** 2205 WASHINGTON ST E, CHARLESTON, WV 25311-2218
- **Practice address phone:** (304) 345-8522
- **Practice address fax:** (304) 344-5305
- **Mailing address:** 2205 WASHINGTON ST E, CHARLESTON, WV 25311-2218
- **Mailing address phone:** (304) 345-8522
- **Mailing address fax:** (304) 344-5305

## Taxonomy

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

## Other

- **Enumeration date:** 04/17/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1022588 | WORKER'S COMPENSATION | WV |
| 05 | — | 4000074000 | — | WV |