Healthcare Provider Details

I. General information

NPI: 1497950323
Provider Name (Legal Business Name): PROFESSIONAL HEARING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 12/11/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 PRIMROSE ST
NORTH HAVEN CT
06473-2934
US

IV. Provider business mailing address

27 PRIMROSE ST
NORTH HAVEN CT
06473-2934
US

V. Phone/Fax

Practice location:
  • Phone: 203-281-1212
  • Fax: 203-281-2746
Mailing address:
  • Phone: 203-281-1212
  • Fax: 203-281-2746

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code231HA2400X
TaxonomyAssistive Technology Practitioner Audiologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code231HA2500X
TaxonomyAssistive Technology Supplier Audiologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. PAMELA KIM PARENTE
Title or Position: DOCTOR OF AUDIOLOGY
Credential: AU.D., CCC-A, F-AAA
Phone: 203-288-1212