Healthcare Provider Details

I. General information

NPI: 1629639091
Provider Name (Legal Business Name): TUMINELLO HEARING SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2019
Last Update Date: 06/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N LOCUST AVE
LAWRENCEBURG TN
38464-3515
US

IV. Provider business mailing address

5016 SPEDALE CT # 427
SPRING HILL TN
37174-6105
US

V. Phone/Fax

Practice location:
  • Phone: 931-242-1671
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CASSIE TUMINELLO
Title or Position: OWNER
Credential: BC-HIS
Phone: 931-581-8608