Provider Demographics
NPI:1245801455
Name:HEARWELL SERVICES INC
Entity Type:Organization
Organization Name:HEARWELL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSINGTHWAIGHTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:332-238-1028
Mailing Address - Street 1:9 DEFOREST ST
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-2805
Mailing Address - Country:US
Mailing Address - Phone:332-238-1028
Mailing Address - Fax:
Practice Address - Street 1:9 DEFOREST ST
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-2805
Practice Address - Country:US
Practice Address - Phone:917-774-4763
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-08
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty