Organization
PROFESSIONAL AUDIOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORETTA COLTHARP MORTON AU.D. (PRESIDENT/AUDIOLOGIST)
(901) 372-0040
Entity
Organization
Contact information
Practice address
5118 STAGE RD, MEMPHIS, TN 38134-3166
(901) 372-0040
(901) 372-8685
Mailing address
5108 STAGE RD, MEMPHIS, TN 38134-3164
(901) 372-0040
(901) 372-8685
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
A103
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3192119
MEDICARE PTAN
TN
Enumeration date
01/09/2012
Last updated
01/09/2012
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