| NPI | 1649734476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MICACCI Owner/Audiologist 860-919-0998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2019-01-25 |
| Last Update Date | 2022-11-10 |