Healthcare Provider Details
I. General information
NPI: 1861651127
Provider Name (Legal Business Name): ABC HEARING NET
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/03/2008
Last Update Date: 06/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
790 E MARKET ST SUITE 240
WEST CHESTER PA
19382-4884
US
IV. Provider business mailing address
790 E MARKET ST SUITE 240
WEST CHESTER PA
19382-4884
US
V. Phone/Fax
- Phone: 484-880-2239
- Fax: 610-431-2411
- Phone: 484-880-2239
- Fax: 610-431-2411
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | AT000950L |
| License Number State | PA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | SL005173L |
| License Number State | PA |
VIII. Authorized Official
Name: DR.
JUDITH
ANN
CURTIN
Title or Position: OWNER
Credential: AUD CCC A SLP
Phone: 484-880-2239