Provider Demographics
NPI:1548389604
Name:HINCHION, WHEATON (AUD,CCC-A)
Entity Type:Individual
Prefix:
First Name:WHEATON
Middle Name:
Last Name:HINCHION
Suffix:
Gender:F
Credentials:AUD,CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 PARADISE RD
Mailing Address - Street 2:15
Mailing Address - City:SWAMPSCOTT
Mailing Address - State:MA
Mailing Address - Zip Code:01907-1395
Mailing Address - Country:US
Mailing Address - Phone:781-581-1500
Mailing Address - Fax:
Practice Address - Street 1:990 PARADISE RD
Practice Address - Street 2:15
Practice Address - City:SWAMPSCOTT
Practice Address - State:MA
Practice Address - Zip Code:01907-1395
Practice Address - Country:US
Practice Address - Phone:781-581-1500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2011-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA839231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA839OtherSTATE LICENSE