Healthcare Provider Details

I. General information

NPI: 1235319534
Provider Name (Legal Business Name): TWIN RIVERS HEARING HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2007
Last Update Date: 11/05/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 DOUGLAS PIKE #1
SMITHFIELD RI
02917-2379
US

IV. Provider business mailing address

151 DOUGLAS PIKE #1
SMITHFIELD RI
02917-2379
US

V. Phone/Fax

Practice location:
  • Phone: 401-349-0456
  • Fax:
Mailing address:
  • Phone: 401-349-0456
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: DR. MARY KAY UCHMANOWICZ
Title or Position: OWNER
Credential: CCCA
Phone: 401-349-0456