Organization
HEARING TECHNOLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL B BRENNER AU.D. (OWNER)
(610) 747-1100
Entity
Organization
Contact information
Practice address
143 BALA AVE, BALA CYNWYD, PA 19004-3317
(610) 747-1100
(610) 747-1118
Mailing address
143 BALA AVE, BALA CYNWYD, PA 19004-3317
(610) 747-1100
(610) 747-1118
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000123L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000223955
INDIVIDUAL HIGHMARK BS ID
PA
01
—
001481681
HIGHMARK BS ID
PA
01
—
0844536000
INDIVIDUAL HMO ID
PA
01
—
2146958000
HMO ID
PA
Enumeration date
12/13/2006
Last updated
06/24/2008
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