Provider Demographics
NPI:1538410907
Name:HEARSMART AUDIOLOGY, LLC
Entity type:Organization
Organization Name:HEARSMART AUDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:FORD
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:978-952-2500
Mailing Address - Street 1:435 KING ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LITTLETON
Mailing Address - State:MA
Mailing Address - Zip Code:01460-1275
Mailing Address - Country:US
Mailing Address - Phone:978-952-2500
Mailing Address - Fax:978-952-2502
Practice Address - Street 1:435 KING ST
Practice Address - Street 2:SUITE 2
Practice Address - City:LITTLETON
Practice Address - State:MA
Practice Address - Zip Code:01460-1275
Practice Address - Country:US
Practice Address - Phone:978-952-2500
Practice Address - Fax:978-952-2502
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA656231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty