Organization
SIMETRIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA LYNN DEYOUNG (DIRECTOR OF CREDENTIALING)
(502) 245-0767
Entity
Organization
Contact information
Practice address
4040 DUTCHMANS LN # A, LOUISVILLE, KY 40207-4712
(502) 895-0404
(502) 895-0752
Mailing address
4040 DUTCHMANS LN # A, LOUISVILLE, KY 40207-4712
(502) 895-0404
(502) 895-0752
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
0388
KY
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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