Healthcare Provider Details

I. General information

NPI: 1912163197
Provider Name (Legal Business Name): MEGAN KATE HOBEN AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2008
Last Update Date: 10/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

736 CAMBRIDGE ST SMC-8
BRIGHTON MA
02135-2907
US

IV. Provider business mailing address

990 PARADISE RD SUITE 1G
SWAMPSCOTT MA
01907-1395
US

V. Phone/Fax

Practice location:
  • Phone: 617-562-7956
  • Fax: 617-789-5088
Mailing address:
  • Phone: 781-581-1500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number920
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: