Healthcare Provider Details

I. General information

NPI: 1104964626
Provider Name (Legal Business Name): TESSMER & ASSOCIATES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 10/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 KINROSS LAKES PKWY SUITE 220
RICHFIELD OH
44286-9010
US

IV. Provider business mailing address

4199 KINROSS LAKES PKWY SUITE 220
RICHFIELD OH
44286-9010
US

V. Phone/Fax

Practice location:
  • Phone: 234-400-0201
  • Fax: 234-400-0199
Mailing address:
  • Phone: 234-400-0201
  • Fax: 234-400-0199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA00826
License Number StateOH

VIII. Authorized Official

Name: KATHY L MCGOWAN
Title or Position: AUDIOLOGIST
Credential: M.A.
Phone: 234-400-0201