Provider Demographics
NPI:1447684949
Name:SMITH AUDIOLOGY CONSULTING, INC.
Entity type:Organization
Organization Name:SMITH AUDIOLOGY CONSULTING, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:330-434-5101
Mailing Address - Street 1:102 WESTERN AVE
Mailing Address - Street 2:SUITE 106
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6315
Mailing Address - Country:US
Mailing Address - Phone:330-434-5101
Mailing Address - Fax:330-434-7854
Practice Address - Street 1:102 WESTERN AVE
Practice Address - Street 2:SUITE 106
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6315
Practice Address - Country:US
Practice Address - Phone:330-434-5101
Practice Address - Fax:330-434-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-03
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2205743261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech