| NPI | 1669610291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA VANDENBURGH Office Manager 207-797-8738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: ME AP25) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: ME AP1825) |
| 237700000X Hearing Instrument Specialist (Licence: ME DL20000383) | |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |