Provider Demographics
NPI:1316391618
Name:DUMONT, JOSEPH (LICENSED HIS)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:DUMONT
Suffix:
Gender:M
Credentials:LICENSED HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HEMLOCK ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2723
Mailing Address - Country:US
Mailing Address - Phone:508-736-4051
Mailing Address - Fax:
Practice Address - Street 1:3 HEMLOCK ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:MA
Practice Address - Zip Code:01516-2723
Practice Address - Country:US
Practice Address - Phone:508-736-4051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-22
Last Update Date:2017-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist