=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649289307
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HEARING HEALTHCARE ASSOCIATES, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/05/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 89 HOSPITAL ST SUITE 3
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04330-6651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-622-5922
-----------------------------------------------------
Fax | 207-622-6052
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 89 HOSPITAL ST SUITE 3
-----------------------------------------------------
City | AUGUSTA
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04330-6651
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-622-5922
-----------------------------------------------------
Fax | 207-622-6052
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/OWNER
-----------------------------------------------------
Name | CORINNE R CHIPMAN
-----------------------------------------------------
Credential | M.S., CCC-A
-----------------------------------------------------
Telephone | 207-622-5922
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237600000X
-----------------------------------------------------
Taxonomy Name | Audiologist-Hearing Aid Fitter
-----------------------------------------------------
License Number | BU10000334
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------