| NPI | 1790164929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DEMPSEY WALLBERG Doctor Of Audiology/Owner 203-272-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: CT 314) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 314) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |