Provider Demographics
NPI: | 1588873863 |
---|---|
Name: | ABRAMSON, ARLENE (AUD) |
Entity type: | Individual |
Prefix: | |
First Name: | ARLENE |
Middle Name: | |
Last Name: | ABRAMSON |
Suffix: | |
Gender: | F |
Credentials: | AUD |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 18 CROSS ST |
Mailing Address - Street 2: | |
Mailing Address - City: | SOUTH EASTON |
Mailing Address - State: | MA |
Mailing Address - Zip Code: | 02375-1050 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 508-238-1436 |
Mailing Address - Fax: | 508-238-6665 |
Practice Address - Street 1: | 1030 PRESIDENT AVE |
Practice Address - Street 2: | |
Practice Address - City: | FALL RIVER |
Practice Address - State: | MA |
Practice Address - Zip Code: | 02720-5923 |
Practice Address - Country: | US |
Practice Address - Phone: | 508-679-0058 |
Practice Address - Fax: | 508-235-6665 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2007-05-22 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
MA | 4 | 231H00000X, 231HA2500X, 237600000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Not Answered | 231H00000X | Speech, Language and Hearing Service Providers | Audiologist | |
Not Answered | 231HA2500X | Speech, Language and Hearing Service Providers | Audiologist | Assistive Technology Supplier |
Not Answered | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter |