MARLENE A BEVAN


Address: 872 Munson Ave Ste D, Traverse City, MI 49686-3638
Phone: 2312383111

MARLENE A BEVAN (NPI# 1679518153) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679518153
Entity Type Individual
Full Name MARLENE A BEVAN
Credential PHD
Practice Address 872 Munson Ave Ste D
Traverse City
MI 49686-3638
Mailing Address 872 Munson Ave
Ste D
Traverse City
MI 49686-3638
Practice Telephone 2312383111
Practice Fax Number 2312383214
Mailing Telephone 2319383111
Enumeration Date 2006-06-18
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 231H00000X Audiologist MI Speech, Language and Hearing Service Providers
Y 237600000X Audiologist-Hearing Aid Fitter Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MI 804707447 05
MI 804707456 05
MI BLUE CROSS BLUE SHIELD 540B802900 01
MI 804707465 05
MI 902575198 05
MI 903380558 05
MI BLUE CROSS BLUE SHIELD 640B827240 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
829 W Main St Ste C1, Gaylord, MI 497351998 9897052100 9897052220

Office Location

Street Address 872 MUNSON AVE STE D
City TRAVERSE CITY
State MI
Zip Code 49686-3638

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881951465 Jeanne L. Lynch Hearing Instrument Specialist 872 Munson Ave Ste D, Traverse City, MI 49686-3638 2012-04-19
1851657506 Audicare Hearing Centers, Inc Clinic/Center 872 Munson Ave Ste D, Traverse City, MI 49686-3638 2012-04-06
1295091940 Audicare Hearing Centers Inc. Clinic/Center 872 Munson Ave Ste D, Traverse City, MI 49686-3638 2012-04-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245877208 Jessica Marie Glowacki Behavior Technician 935 Hemlock St, Traverse City, MI 49686 2019-12-09
1568011542 Joanne Kressley Technician 1693 Maylane Apt. 104, Traverse City, MI 49686 2019-09-11
1194283846 Pace North PACE Provider Organization 2325 Garfield Road N., Traverse City, MI 49686 2019-03-12
1245749225 Margaret Anne Goss Speech-Language Pathologist 1105 E. Eighth Street, Traverse City, MI 49686 2017-09-22
1467981811 Joan Joyce Shirilla Social Worker 2124 Twin Eagles Dr, Traverse City, MI 49686 2017-06-08
1770028763 Rehab and Mobility Systems, LLC Durable Medical Equipment & Medical Supplies 707 Parsons, Traverse City, MI 49686 2016-12-29
1629511316 Kaitlyn Grangood Social Worker 415 Munson Avenue, Ste 101, Traverse City, MI 49686 2016-11-29
1811441132 Jeffrey D Goodwin Counselor 430 Fair St., Traverse City, MI 49686 2016-08-04
1053779918 Thomas Osborne Counselor 2014 Phelps Rd., Traverse City, MI 49686 2016-02-08
1982079588 Marsha Lynne Dallas Counselor 2240 South Airport Road, Traverse City, MI 49686 2015-12-08
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Taxonomy Information

Taxonomy Code 237600000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist-Hearing Aid Fitter

Taxonomy Definition

An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual’s hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as "audiologist-hearing aid fitters" as opposed to states that license individuals as "audiologists".
Notes: Source: American Academy of Audiology, 1735 N. Lynn St, Suite 950, Arlington VA 22209, (800)AAA-2336)

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932144425 Audicare Hearing Centers Inc. Audiologist-Hearing Aid Fitter 4620 Us 31 N, Traverse City, MI 49686-3757 2006-06-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1215584982 Lorin David Riutta Audiologist-Hearing Aid Fitter 150 Greenwood St, Ishpeming, MI 49849-2314 2019-08-19
1578123790 Jon Boynton Audiologist-Hearing Aid Fitter 25882 Orchard Lake Rd, Suite 103, Farmington Hills, MI 48336 2019-06-19
1679042808 John Russell Saunders Audiologist-Hearing Aid Fitter 27041 Schoenherr Rd Ste B, Warren, MI 48088-6674 2018-11-16
1700368875 Diane Marie Mamut Audiologist-Hearing Aid Fitter 134 W Middle St Ste A, Chelsea, MI 48118-1515 2018-09-05
1750882585 Donald Roy Schell IIi Audiologist-Hearing Aid Fitter 5629 Sashabaw Rd, Clarkston, MI 48346-3149 2018-02-27
1912408758 The Hearing Loss Treatment Center Audiologist-Hearing Aid Fitter 214 E Elm Ave Ste 111, Monroe, MI 48162-2678 2018-02-27
1386090488 Sterling Hearing Care Audiologist-Hearing Aid Fitter 2032 E Square Lake Rd Ste 200f, Troy, MI 48085-3315 2016-05-06
1497129670 Heritage Hearing, PC Audiologist-Hearing Aid Fitter 23083 E Main St, Armada, MI 48005-4706 2015-11-25
1861827370 May Audiology and Hearing Aid Center Audiologist-Hearing Aid Fitter 4976 N Adams Rd, Rochester, MI 48306-1416 2013-09-04
1417395344 Bieri Hearing Instruments, Inc. Audiologist-Hearing Aid Fitter 919 N Mcewan St, Suite C, Clare, MI 48617-1234 2013-06-13
Find all providers with the same taxonomy

Competitor

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City TRAVERSE CITY
Zip Code 49686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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