Provider Demographics
NPI:1558692368
Name:BEARE, RICHARD ANDREW
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:ANDREW
Last Name:BEARE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 LORING AVE
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-4264
Mailing Address - Country:US
Mailing Address - Phone:978-607-0062
Mailing Address - Fax:978-607-0063
Practice Address - Street 1:600 LORING AVE
Practice Address - Street 2:SUITE 8
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-4264
Practice Address - Country:US
Practice Address - Phone:978-607-0062
Practice Address - Fax:978-607-0063
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-18
Last Update Date:2010-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA234237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist