Provider Demographics
NPI:1447938832
Name:LIM, HYEJIN (AUD, CCC-A)
Entity type:Individual
Prefix:DR
First Name:HYEJIN
Middle Name:
Last Name:LIM
Suffix:
Gender:F
Credentials:AUD, CCC-A
Other - Prefix:DR
Other - First Name:KAILYN
Other - Middle Name:HYEJIN
Other - Last Name:LIM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:AUD, CCC-A
Mailing Address - Street 1:1603 MEDICAL PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-7904
Mailing Address - Country:US
Mailing Address - Phone:512-260-2665
Mailing Address - Fax:512-260-2668
Practice Address - Street 1:351 EXCHANGE BLVD STE 200
Practice Address - Street 2:
Practice Address - City:HUTTO
Practice Address - State:TX
Practice Address - Zip Code:78634-5846
Practice Address - Country:US
Practice Address - Phone:737-304-7573
Practice Address - Fax:737-304-7574
Is Sole Proprietor?:No
Enumeration Date:2023-07-06
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX81662237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter