Healthcare Provider Details

I. General information

NPI: 1922210301
Provider Name (Legal Business Name): ALANA WARE SALAZAR WEIBEL M.A., CCC-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2007
Last Update Date: 08/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALLDS ST
NASHUA NH
03060-4711
US

IV. Provider business mailing address

45 PINE HILL RD
BEDFORD MA
01730-1639
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-0090
  • Fax:
Mailing address:
  • Phone: 617-549-3972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA589
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: