Organization
AUDIOLOGY ASSOCIATES,LLC
Active
Other names
Audiology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS A PETERSON M.S., CCC-A (OWNER)
(724) 728-3659
Entity
Organization
Contact information
Practice address
78 TUSCARAWAS RD, BEAVER, PA 15009-2231
(724) 728-3659
(724) 728-3679
Mailing address
78 TUSCARAWAS RD, BEAVER, PA 15009-1721
(724) 728-3659
(724) 728-3679
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
AT000235L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1036036
GATEWAY
PA
05
—
1576172
—
PA
01
—
250221
UPMC
PA
01
—
360571
HIGHMARK BCBS
PA
01
—
89563
UNISON
PA
Enumeration date
08/29/2006
Last updated
07/25/2007
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