Healthcare Provider Details

I. General information

NPI: 1669390001
Provider Name (Legal Business Name): SHERRY SKEEN H.I.S.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 MAIN ST. STE 822
SPRINGFIELD MA
01115-1001
US

IV. Provider business mailing address

385 PLEASANTDALE RD
RUTLAND MA
01543-1230
US

V. Phone/Fax

Practice location:
  • Phone: 413-338-2777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberHES6565
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: