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Public-record details

Address

555 W 14 Mile Rd Ste 2a, Clawson, MI 48017

Phone

(248) 435-6811

Listed under

Audiologists, Clinics & practices

NPI

1073631784

NPI status

Active in the NPPES registry

Provider type

Organization (practice, clinic or company)

Registered specialty (self-reported taxonomy)

Audiologist (231H00000X)

License number on NPI record

1601000021 (MI)

Authorized official

Jeanne Ward, AuD, Owner

NPI first issued

Mar 27, 2007

NPI record last updated

Nov 5, 2013

NPI 1073631784 is active in the federal NPPES registry (CMS); license 1601000021 (MI) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-10-21.

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What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it.

View NPI 1073631784 in the official registry ↗