Healthcare Provider Details

I. General information

NPI: 1245048941
Provider Name (Legal Business Name): AVIYA TAYLOR SINGER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/26/2024
Last Update Date: 12/26/2024
Certification Date: 12/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

281 LINCOLN ST
WORCESTER MA
01605-2138
US

IV. Provider business mailing address

2 KEELY DR
CHARLTON MA
01507-1474
US

V. Phone/Fax

Practice location:
  • Phone: 508-334-6855
  • Fax:
Mailing address:
  • Phone: 774-242-9151
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberAUD100158
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: