Healthcare Provider Details

I. General information

NPI: 1669300034
Provider Name (Legal Business Name): SEASIDE HEARING SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

923 ROUTE 6A UNIT DD
YARMOUTH PORT MA
02675-2159
US

IV. Provider business mailing address

47 COLBURNE PATH
WEST YARMOUTH MA
02673-1502
US

V. Phone/Fax

Practice location:
  • Phone: 508-371-2520
  • Fax:
Mailing address:
  • Phone: 508-292-3421
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: SUSANNE POWERS
Title or Position: OWNER/PROVIDER
Credential: BC-HIS
Phone: 508-371-2520