# MOUNTAINEER AUDIOLOGY LLC

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

## Provider details

- **NPI number:** 1760893473
- **Authorized official:** DR. TARA DIANNE CRANE AUD (AUDIOLOGIST/OWNER)
- **Authorized official phone:** (304) 822-4334

## Contact information

- **Practice address:** 25029 NORTHWESTERN PIKE, ROMNEY, WV 26757-6203
- **Practice address phone:** (304) 822-4334
- **Practice address fax:** (304) 822-4452
- **Mailing address:** 25029 NORTHWESTERN PIKE, ROMNEY, WV 26757-6203
- **Mailing address phone:** (304) 822-4334
- **Mailing address fax:** (304) 822-4452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | A-0070 | WV | Yes |

## Other

- **Enumeration date:** 05/15/2014
- **Last updated:** 06/09/2025