Healthcare Provider Details

I. General information

NPI: 1922938653
Provider Name (Legal Business Name): HANNAH SHOTWELL HARDY AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

990 PARADISE RD STE 3A
SWAMPSCOTT MA
01907-1309
US

IV. Provider business mailing address

19 POND VIEW RD
LYNN MA
01904-2205
US

V. Phone/Fax

Practice location:
  • Phone: 781-581-1500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD100212
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: