Provider Demographics
NPI:1720331275
Name:HEARING HEALTH PROFESSIONALS OF NEW ENGLAND
Entity type:Organization
Organization Name:HEARING HEALTH PROFESSIONALS OF NEW ENGLAND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARKETING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:E
Authorized Official - Last Name:MANIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-667-5880
Mailing Address - Street 1:1130 TEN ROD RD STE 304
Mailing Address - Street 2:THE MEADOWS PROFESSIONAL OFFICE PARK
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1130 TEN ROD RD STE 304
Practice Address - Street 2:THE MEADOWS PROFESSIONAL OFFICE PARK
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4161
Practice Address - Country:US
Practice Address - Phone:401-667-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-22
Last Update Date:2012-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIHAD00241251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health