Provider Demographics
NPI:1083878094
Name:ANDOVER HEARING CENTER
Entity Type:Organization
Organization Name:ANDOVER HEARING CENTER
Other - Org Name:AMORE HEARING CONSULTANTS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:RING
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-A
Authorized Official - Phone:978-470-4500
Mailing Address - Street 1:11 CHESTNUT ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3744
Mailing Address - Country:US
Mailing Address - Phone:978-470-4500
Mailing Address - Fax:978-470-0110
Practice Address - Street 1:11 CHESTNUT ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3744
Practice Address - Country:US
Practice Address - Phone:978-470-4500
Practice Address - Fax:978-470-0110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-18
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA428231H00000X, 332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty