Provider Demographics
NPI:1043299563
Name:OHIO HEARING HEALTH, INC,
Entity type:Organization
Organization Name:OHIO HEARING HEALTH, INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. PRES
Authorized Official - Prefix:
Authorized Official - First Name:DANEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:JABBOUR
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:330-665-5200
Mailing Address - Street 1:PO BOX 4082
Mailing Address - Street 2:
Mailing Address - City:CUYAHOGA FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44223-4082
Mailing Address - Country:US
Mailing Address - Phone:330-665-5200
Mailing Address - Fax:
Practice Address - Street 1:799 WHITE POND DR
Practice Address - Street 2:SUITE D
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44320-1189
Practice Address - Country:US
Practice Address - Phone:330-665-5200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-12
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2375460Medicaid
OH2375460Medicaid