Provider Demographics
NPI:1376623728
Name:HEARING SERVICES OF DELAWARE, INC
Entity Type:Organization
Organization Name:HEARING SERVICES OF DELAWARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:RODICHOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-376-3500
Mailing Address - Street 1:104 SLEEPY HOLLOW DR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:MIDDLETOWN
Mailing Address - State:DE
Mailing Address - Zip Code:19709-5842
Mailing Address - Country:US
Mailing Address - Phone:302-376-3500
Mailing Address - Fax:302-376-5758
Practice Address - Street 1:104 SLEEPY HOLLOW DR
Practice Address - Street 2:SUITE 202
Practice Address - City:MIDDLETOWN
Practice Address - State:DE
Practice Address - Zip Code:19709-5842
Practice Address - Country:US
Practice Address - Phone:302-376-3500
Practice Address - Fax:302-376-5758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2007-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG02445Medicare PIN