Healthcare Provider Details

I. General information

NPI: 1225361819
Provider Name (Legal Business Name): HALIE ELISABETH PAPERNO AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 02/15/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 DUNHAM RIDGE RD., SUITE 3400
BEVERLY MA
01915-0191
US

IV. Provider business mailing address

48 DUNHAM RIDGE RD., SUITE 3400
BEVERLY MA
01915-3877
US

V. Phone/Fax

Practice location:
  • Phone: 978-922-1888
  • Fax: 978-499-8200
Mailing address:
  • Phone: 978-922-1888
  • Fax: 978-499-8200

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number919
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: