Joan Lee Allen, M.A., CCC-A
Individual provider Active NPI Audiologist · Elizabethtown, KY
NPI 1205974698 · NPPES record last updated Dec 13, 2013
Key facts
- NPI
- 1205974698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 0096 (KY)
- Practice address
- 580 Westport Rd
Suite B
Elizabethtown, KY 42701-2949 - Phone
- (270) 766-5370
- Fax
- (270) 766-5375
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0096 | KY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commission for Children With Special Health Car | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 0096 | KY | Yes |
Addresses
Primary practice location
580 Westport Rd
Suite B
Elizabethtown, KY 42701-2949
Mailing address
610 Erin Dr
Jeffersonville, IN 47130-5200
Phone (812) 283-1930
Other providers in Elizabethtown, KY
- Roberto E Alfaro-Saprissa
- Ali Counseling Group Services Inc
- Tehmina Ali
- Teresa Allara
- Brandon Jarrett Allen
- Olivia Allen
- Roger K Allen
- Hannah Allender
- Allied Anesthesia, PLLC
- Matthew Allinder
All providers in Elizabethtown, KY · Audiologist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.