| NPI | 1952425613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER WALLBERG Owner 203-735-4327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |