Organization
GREENBRIER AUDIOLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURA L STOUT AU.D. (PRESIDENT/AUDIOLOGIST)
(304) 255-6310
Entity
Organization
Contact information
Practice address
2216 S KANAWHA ST, BECKLEY, WV 25801-6720
(304) 255-6310
(304) 255-6320
Mailing address
2216 S KANAWHA ST, BECKLEY, WV 25801-6720
(304) 255-6310
(304) 255-6320
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A-0051
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810026118
—
WV
Enumeration date
11/15/2013
Last updated
11/15/2013
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