Organization
AUDIOLOGY AND SPEECH PATHOLOGY, INC
Active
Parent organization
NORTHLAND HEARING CENTERS, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHLAND HEARING CENTERS, INC.
Authorized official
MEL GRANT AU.D. (PRESIDENT)
(561) 649-4006
Entity
Organization
Contact information
Practice address
3540 FOREST HILL BLVD, STE 205, WEST PALM BEACH, FL 33406-5878
(561) 649-4006
(561) 969-6621
Mailing address
3540 FOREST HILL BLVD, STE 205, WEST PALM BEACH, FL 33406-5878
(561) 649-4006
(561) 969-6621
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600037100
—
FL
05
—
600037108
—
FL
05
—
600037110
—
FL
01
—
T0938
BCBS
FL
Enumeration date
05/27/2005
Last updated
04/29/2008
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