Healthcare Provider Details

I. General information

NPI: 1366209660
Provider Name (Legal Business Name): HEARING CENTER OF NEW HAMPSHIRE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2024
Last Update Date: 07/30/2024
Certification Date: 07/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 TSIENNETO RD # 305A
DERRY NH
03038-1647
US

IV. Provider business mailing address

288 S RIVER RD BLDG A1
BEDFORD NH
03110-7089
US

V. Phone/Fax

Practice location:
  • Phone: 603-669-0831
  • Fax: 603-541-4898
Mailing address:
  • Phone: 603-595-4800
  • Fax: 603-541-4898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. EMMA B MICHAUD
Title or Position: MANAGER
Credential: AUD
Phone: 603-595-4800