Provider Demographics
NPI:1285795179
Name:BOSTON HEARING ASSOCIATES, INC.
Entity type:Organization
Organization Name:BOSTON HEARING ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WEINSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:781-444-9595
Mailing Address - Street 1:1410 HIGHLAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2671
Mailing Address - Country:US
Mailing Address - Phone:781-444-9595
Mailing Address - Fax:781-444-9533
Practice Address - Street 1:1410 HIGHLAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2671
Practice Address - Country:US
Practice Address - Phone:781-444-9595
Practice Address - Fax:781-444-9533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224W231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0533533Medicaid
MD0533533Medicaid