Provider Demographics
NPI:1629113246
Name:HINTERMEIER, ANN L (MA)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:L
Last Name:HINTERMEIER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6317 TOWN HILL RD
Mailing Address - Street 2:
Mailing Address - City:CONEWANGO VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14726-9746
Mailing Address - Country:US
Mailing Address - Phone:716-296-8959
Mailing Address - Fax:
Practice Address - Street 1:10714 NORTH RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:NY
Practice Address - Zip Code:14129-9746
Practice Address - Country:US
Practice Address - Phone:716-532-1049
Practice Address - Fax:716-532-0679
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
0005501231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist