Healthcare Provider Details

I. General information

NPI: 1407749187
Provider Name (Legal Business Name): SOUND HAVEN HEARING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2025
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2911 DIXWELL AVE STE 202
HAMDEN CT
06518-3195
US

IV. Provider business mailing address

2911 DIXWELL AVE STE 202
HAMDEN CT
06518-3195
US

V. Phone/Fax

Practice location:
  • Phone: 203-903-1715
  • Fax: 475-298-1329
Mailing address:
  • Phone: 203-903-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: ROXANNE KOHILAKIS
Title or Position: OWNER
Credential: AU.D.
Phone: 203-675-5455