Provider Demographics
NPI:1518437417
Name:DOLE, PAUL G (LHIS)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:G
Last Name:DOLE
Suffix:
Gender:M
Credentials:LHIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 GROVE ST STE 306
Mailing Address - Street 2:
Mailing Address - City:WELLESLEY
Mailing Address - State:MA
Mailing Address - Zip Code:02482-7779
Mailing Address - Country:US
Mailing Address - Phone:781-235-8110
Mailing Address - Fax:
Practice Address - Street 1:8 GROVE ST STE 306
Practice Address - Street 2:
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7779
Practice Address - Country:US
Practice Address - Phone:781-235-8110
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-04
Last Update Date:2018-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA310237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter