Provider Demographics
NPI:1437678539
Name:FLORENCE HEARING HEALTH CARE
Entity Type:Organization
Organization Name:FLORENCE HEARING HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:GAIL
Authorized Official - Last Name:SOWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:413-776-1700
Mailing Address - Street 1:220 SPRING GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1051
Mailing Address - Country:US
Mailing Address - Phone:413-776-1700
Mailing Address - Fax:
Practice Address - Street 1:190 NONOTUCK ST STE 102
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1943
Practice Address - Country:US
Practice Address - Phone:413-776-1700
Practice Address - Fax:413-776-1717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1093231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty