Provider Demographics
NPI:1659658243
Name:HOEFS, MONA RAE (MAED)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:RAE
Last Name:HOEFS
Suffix:
Gender:F
Credentials:MAED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 WINONA RD
Mailing Address - Street 2:
Mailing Address - City:MEREDITH
Mailing Address - State:NH
Mailing Address - Zip Code:03253-6009
Mailing Address - Country:US
Mailing Address - Phone:603-455-8777
Mailing Address - Fax:
Practice Address - Street 1:64 WINONA RD
Practice Address - Street 2:
Practice Address - City:MEREDITH
Practice Address - State:NH
Practice Address - Zip Code:03253-6009
Practice Address - Country:US
Practice Address - Phone:603-455-8777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-09
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH347237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist