Healthcare Provider Details

I. General information

NPI: 1629375852
Provider Name (Legal Business Name): ANNMARIE HENSON REEBENACKER M.ED.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNMARIE HENSON

II. Dates (important events)

Enumeration Date: 02/24/2011
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

416 DANIEL WEBSTER HWY STE L
MERRIMACK NH
03054-4125
US

IV. Provider business mailing address

580 HOWARD AVE
SOMERSET NJ
08873-1113
US

V. Phone/Fax

Practice location:
  • Phone: 603-429-4012
  • Fax: 603-429-3821
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA782
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: