Healthcare Provider Details

I. General information

NPI: 1467092510
Provider Name (Legal Business Name): BLACKSTONE VALLEY HEARING CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2020
Last Update Date: 09/09/2023
Certification Date: 09/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 MENDON RD STE 211
CUMBERLAND RI
02864-4340
US

IV. Provider business mailing address

1725 MENDON RD STE 211
CUMBERLAND RI
02864-4340
US

V. Phone/Fax

Practice location:
  • Phone: 401-725-5798
  • Fax: 508-779-7702
Mailing address:
  • Phone: 401-725-5798
  • Fax: 508-779-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. ELIZABETH ANN FINCH
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 401-725-5798