Healthcare Provider Details

I. General information

NPI: 1013198571
Provider Name (Legal Business Name): NEURO-COMMUNICATION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2007
Last Update Date: 07/22/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 BOARDMAN CANFIELD RD SOUTH BRIDGE WEST, C1
BOARDMAN OH
44512-4300
US

IV. Provider business mailing address

755 BOARDMAN CANFIELD RD SOUTH BRIDGE WEST, C1
BOARDMAN OH
44512-4300
US

V. Phone/Fax

Practice location:
  • Phone: 330-726-8155
  • Fax: 330-726-8612
Mailing address:
  • Phone: 330-726-8155
  • Fax: 330-726-8612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License NumberA00139
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License NumberA00139
License Number StateOH

VIII. Authorized Official

Name: DR. ERIC N HAGBERG
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 330-726-8155