Provider Demographics
NPI:1144376260
Name:GAIERO, CAROLYN HUSSEY (AUD)
Entity Type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:HUSSEY
Last Name:GAIERO
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CAROLYN
Other - Middle Name:RUTH
Other - Last Name:HUSSEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:147 NORTHPORT AVE
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915
Mailing Address - Country:US
Mailing Address - Phone:207-338-6770
Mailing Address - Fax:207-338-3488
Practice Address - Street 1:147 NORTHPORT AVE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-338-6770
Practice Address - Fax:207-338-3488
Is Sole Proprietor?:No
Enumeration Date:2007-01-25
Last Update Date:2016-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEAP1107231H00000X
MEDL350237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME133250000Medicaid
MEGA019364Medicare ID - Type Unspecified