Healthcare Provider Details

I. General information

NPI: 1609267665
Provider Name (Legal Business Name): HAMPSHIRE HEARING AND SPEECH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2015
Last Update Date: 02/12/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

241 KING ST #119
NORTHAMPTON MA
01060-2335
US

IV. Provider business mailing address

241 KING ST #119
NORTHAMPTON MA
01060-2335
US

V. Phone/Fax

Practice location:
  • Phone: 413-586-9572
  • Fax:
Mailing address:
  • Phone: 413-586-9572
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number486
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number3388
License Number StateMA

VIII. Authorized Official

Name: MRS. ALLISON COLLEEN HOLMBERG
Title or Position: OWNER-AUDIOLOGIST/SLP
Credential: M.S., CCC- A/SLP
Phone: 413-586-9572