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NPI 1194077602 · live from the CMS NPI Registry

Greater Portland Hearing PC

Audiologist-Hearing Aid Fitter in Yarmouth, ME. National Provider Identifier 1194077602, active.

NPI record

NPI1194077602 Type 2 · organization
StatusActive
Primary specialtyAudiologist-Hearing Aid Fitter 237600000X
Practice location163 Main St, Yarmouth, ME 04096
Practice phone207-846-1380
EnumeratedOctober 8, 2012
Last updatedOctober 8, 2012
Authorized officialKristie Iacuessa, Owner, Audiologist
Other namesYarmouth Audiology

Taxonomies and licenses

TaxonomyCodeLicense
Audiologist-Hearing Aid Fitter primary237600000XAP1251 (ME)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.