Provider Demographics
NPI:1558798330
Name:GOOD, STEVEN CHARLES (HIS)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CHARLES
Last Name:GOOD
Suffix:
Gender:M
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 BATCHELDER RD
Mailing Address - Street 2:HEARING AID CENTER
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-4402
Mailing Address - Country:US
Mailing Address - Phone:603-474-0206
Mailing Address - Fax:
Practice Address - Street 1:11 BATCHELDER RD
Practice Address - Street 2:HEARING AID CENTER
Practice Address - City:SEABROOK
Practice Address - State:NH
Practice Address - Zip Code:03874-4402
Practice Address - Country:US
Practice Address - Phone:603-474-0206
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH630237700000X
MA244237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist