Healthcare Provider Details

I. General information

NPI: 1336514462
Provider Name (Legal Business Name): LOUISE LITTLEFIELD HEARING SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2015
Last Update Date: 03/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 FRONT ST
FARMINGTON ME
04938-5835
US

IV. Provider business mailing address

201 FRONT ST
FARMINGTON ME
04938-5835
US

V. Phone/Fax

Practice location:
  • Phone: 207-778-9545
  • Fax:
Mailing address:
  • Phone: 207-778-9545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License NumberDL375
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: