Organization
SOUTHBURY AUDIOLOGY LLC
Active
Other names
Cathleen A Alex AuD LLC (Sole Member LLC)
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHLEEN ANNE ALEX AUD (SOLE MEMBER OWNER LLC)
(203) 264-8201
Entity
Organization
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 307, SOUTHBURY, CT 06488-2288
(203) 264-8201
(203) 264-8201
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 307, SOUTHBURY, CT 06488-2288
(203) 264-8201
(203) 264-8201
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
109
CT
231HA2400X
Assistive Technology Practitioner Audiologist
109
CT
231HA2500X
Assistive Technology Supplier Audiologist
109
CT
237600000X
Audiologist-Hearing Aid Fitter
109
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001376523-001
UNITED HEALTH CARE
CT
01
—
0123218
AETNA
CT
05
—
4048674
—
CT
05
—
4048864
—
CT
01
—
724745
CONNECTICARE
CT
01
—
730000109CT01
ANTHEM BCBS
CT
01
—
P442727
OXFORD
CT
Enumeration date
08/17/2015
Last updated
04/25/2018
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