# THE AUDIOLOGY OFFICES LLC

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

## Provider details

- **NPI number:** 1972716066
- **Authorized official:** MRS. ANN DEPAOLO WIETSMA AU.D. (OWNER, AUDIOLOGIST)
- **Authorized official phone:** (804) 435-0758

## Contact information

- **Practice address:** 45 N MAIN ST, KILMARNOCK, VA 22482-1911
- **Practice address phone:** (804) 435-0758
- **Practice address fax:** (804) 435-7226
- **Mailing address:** PO BOX 1911, 45 N MAIN ST, KILMARNOCK, VA 22482-1911
- **Mailing address phone:** (804) 435-0758
- **Mailing address fax:** (804) 435-7226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 2101 001400 | VA | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 04/14/2008
