| NPI | 1265765705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEO General Manager 203-243-4571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 000418) |
| Additional Taxonomies | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CT 000418) |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: CT 000418) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 000418) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2009-10-05 |