| NPI | 1912150954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER CHARLES CHARON President 508-791-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CT 197) |
| Additional Taxonomies | 231H00000X Audiologist (Licence: CT 237) |
| 231HA2400X Audiologist, Assistive Technology Practitioner (Licence: CT 237) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: CT 197) | |
| 231HA2500X Audiologist, Assistive Technology Supplier (Licence: CT 237) | |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: CT 197) | |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2013-08-19 |