Healthcare Provider Details

I. General information

NPI: 1053759993
Provider Name (Legal Business Name): THE HEARING GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/13/2013
Last Update Date: 06/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 CONCORD PIKE STE 65
WILMINGTON DE
19803-3623
US

IV. Provider business mailing address

1601 CONCORD PIKE STE 65
WILMINGTON DE
19803-3623
US

V. Phone/Fax

Practice location:
  • Phone: 302-652-3558
  • Fax: 302-652-5753
Mailing address:
  • Phone: 302-652-3558
  • Fax: 302-652-5753

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number2012602809
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number2012602809
License Number StateDE

VIII. Authorized Official

Name: DR. ANNE M DOUGHERTY
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 305-652-3558