Provider Demographics
NPI:1609267665
Name:HAMPSHIRE HEARING AND SPEECH SERVICES, LLC
Entity Type:Organization
Organization Name:HAMPSHIRE HEARING AND SPEECH SERVICES, LLC
Other - Org Name:HAMPSHIRE HEARING SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER-AUDIOLOGIST/SLP
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:COLLEEN
Authorized Official - Last Name:HOLMBERG
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC- A/SLP
Authorized Official - Phone:413-586-9572
Mailing Address - Street 1:241 KING ST
Mailing Address - Street 2:#119
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2335
Mailing Address - Country:US
Mailing Address - Phone:413-586-9572
Mailing Address - Fax:
Practice Address - Street 1:241 KING ST
Practice Address - Street 2:#119
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2335
Practice Address - Country:US
Practice Address - Phone:413-586-9572
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-12
Last Update Date:2015-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA486231H00000X
MA3388235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty