Healthcare Provider Details

I. General information

NPI: 1093784068
Provider Name (Legal Business Name): TESSMER AND ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6265 PEARL RD
PARMA HEIGHTS OH
44130-3036
US

IV. Provider business mailing address

421 GRAHAM RD SUITE A
CUYAHOGA FALLS OH
44221-1344
US

V. Phone/Fax

Practice location:
  • Phone: 330-929-3312
  • Fax: 330-929-7634
Mailing address:
  • Phone: 330-929-3312
  • Fax: 330-929-7634

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA 01004
License Number StateOH

VIII. Authorized Official

Name: THOMAS STIDD
Title or Position: AUDIOLOGIST
Credential: M.A., CCC-A
Phone: 330-929-3312