MARY BETH MUCKLOW


Address: 2125 State St, Suite 6, New Albany, IN 47150-4988
Phone: 8129453557

MARY BETH MUCKLOW (NPI# 1720257124) 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) 1720257124
Entity Type Individual
Full Name MARY BETH MUCKLOW
Credential AUD
Practice Address 2125 State St
Suite 6
New Albany
IN 47150-4988
Mailing Address Po Box 950116
Louisville
KY 40295-0116
Practice Telephone 8129453557
Practice Fax Number 8122061784
Mailing Telephone 5028930159
Mailing Fax Number 5022133884
Enumeration Date 2008-02-29
Last Update Date 2014-05-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 174400000X Specialist 0520 KY Other Service Providers
N 207Y00000X Otolaryngology 0520 KY Allopathic & Osteopathic Physicians
Y 231H00000X Audiologist 23002305A IN Speech, Language and Hearing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
IN 200937310 05

Office Location

Street Address 2125 STATE ST
SUITE 6
City NEW ALBANY
State IN
Zip Code 47150-4988

Providers in the same location

NPI Name Taxonomy Address Enumeration
1669426755 Ohio Valley Ent & Allergy LLC Otolaryngology 2125 State St, Suite 6, New Albany, IN 47150-4922 2006-05-22
1356717417 Jessica Lee Farrel Physical Therapist 2125 State St, Suite 2, New Albany, IN 47150-4988 2015-08-12
1013262559 Jennifer Kay Messick Pharmacist 2125 State St, Suite 17, New Albany, IN 47150-4988 2012-07-20
1669776340 Tahnee L Miller Pharmacist 2125 State St, Suite 17, New Albany, IN 47150-4988 2011-01-10
1144492570 Ann Kohler Specialist 2125 State St, Suite 6, New Albany, IN 47150-4988 2008-03-26
1396914701 Shannon Michelle Brown Specialist 2125 State St, Suite # 6, New Albany, IN 47150-4988 2008-02-29
1912176330 Ohio Valley Hearing Aid Center Clinic/Center 2125 State St, Suite # 6, New Albany, IN 47150-4972 2008-02-29
1942415534 New Horizons Physical Therapy Limited Partnership Durable Medical Equipment & Medical Supplies 2125 State St, Suite 2, New Albany, IN 47150-4972 2007-05-14
1902021553 Eric Andrew Wieman Surgery 2125 State St, Suite 2, New Albany, IN 47150-4988 2007-04-16
1780722322 Michael Paul Mays Surgery 2125 State St, New Albany, IN 47150-4988 2007-02-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396385050 Essential Pediatrics Physical Therapist 1614 Slate Run Road, New Albany, IN 47150 2020-01-10
1871075234 Katie Lyn Vincent Speech-Language Pathologist 845 Park Place, New Albany, IN 47150 2018-09-02
1326528811 Donna Casey Laduke Respiratory Therapist, Registered Baptist Health Floyd, 1850 State Street, New Albany, IN 47150 2018-08-15
1003307232 Shelby Paige Buffin Social Worker 1612 Dewey St., Bld. 6 Apt. 2, New Albany, IN 47150 2018-05-23
1104315902 Whitney Nicole Malloy Physician Assistant 2108 State Street, New Albany, IN 47150 2018-05-07
1942728472 Cleanse Clinic Jeffersonville LLC Psychiatry & Neurology 2818 Grant Line Rd Ste 2, New Albany, IN 47150 2017-09-05
1881110765 Kristy Marie Delaney Social Worker 1144 Creekview Circle, New Albany, IN 47150 2017-08-22
1891217030 Sarah H. Wilson Physician Assistant 1919 State St Ste 362, New Albany, IN 47150 2017-07-10
1861939290 Lauren Brenneman Pollock Audiologist 3211 Grant Line Rd St. #37, New Albany, IN 47150 2017-01-24
1861850414 Kiley Madaleno Speech-Language Pathologist 4915 Charlestown Road, New Albany, IN 47150 2016-02-10
Find all providers in zip 47150

Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861939290 Lauren Brenneman Pollock Audiologist 3211 Grant Line Rd St. #37, New Albany, IN 47150 2017-01-24
1083976112 Marion Kathleen Martin Audiologist 2542 Charlestown Rd, New Albany, IN 47150-2560 2012-06-14
1811284979 Sandy L Giggy Audiologist 2870 Charlestown Rd, New Albany, IN 47150-1978 2011-07-08
1316019631 Catherine Ann Miller Audiologist 3211 Grant Line Rd, Suite 37, New Albany, IN 47150-2175 2006-11-14
1619528478 Natalie A Megles Audiologist 2870 Charlestown Rd, New Albany, IN 47150-1978 2019-09-24
1932658440 Ashlee Rajala Audiologist 108 W Daisy Ln, New Albany, IN 47150-4537 2016-09-26
1871753319 Krisha L. Boren Audiologist 452 W Bankhead St, New Albany, MS 38652-3319 2008-06-09
1700920808 Doctors Hearing Care, LLC Audiologist 3211 Grant Line Rd, Suite 37, New Albany, IN 47150-2175 2007-02-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053922187 Ryan David Leahy Audiologist 480 W Navajo St Ste A, West Lafayette, IN 47906-1940 2020-08-12
1720698558 Shelby Zimmerman Audiologist 11725 Illinois St Ste 447, Carmel, IN 46032-3010 2020-08-06
1902441868 Carolyn Herbert Audiologist 8330 Naab Rd Ste 235, Indianapolis, IN 46260-1932 2019-11-14
1518517002 Katherine Noelle Griffith Audiologist 2421 Plum Woods Dr, Sellersburg, IN 47172-9081 2019-09-17
1548818131 Allison Kern Audiologist 9106 N Meridian St Ste 200, Indianapolis, IN 46260-1826 2019-08-28
1508419359 Barbara L Martig Audiologist 8425 Woodfield Crossing Blvd Ste 100, Indianapolis, IN 46240-7316 2019-07-22
1184286783 Emily Elyse Brennecke Audiologist 1115 Ronald Reagan Pkwy Ste 255, Avon, IN 46123-6913 2019-07-03
1952961591 Sarah Jewel Gurnik Audiologist 2020 S State Road 135 Ste 200, Greenwood, IN 46143-6503 2019-06-17
1942869292 Elizabeth Zuber Audiologist 9604 Coldwater Rd Ste 103, Fort Wayne, IN 46825-2096 2019-06-11
1225696875 Angela Pollack Audiologist 201 N Illinois St Fl 16, Indianapolis, IN 46204-1904 2019-05-30
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Competitor

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City NEW ALBANY
Zip Code 47150

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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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