Provider Demographics
NPI:1659847705
Name:SUGAI, JENNA AIMEE (AUD)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:AIMEE
Last Name:SUGAI
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:JENNA
Other - Middle Name:AIME
Other - Last Name:BROWNING-KAMINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:6 HARVEST LN
Mailing Address - Street 2:
Mailing Address - City:NORTH READING
Mailing Address - State:MA
Mailing Address - Zip Code:01864-2410
Mailing Address - Country:US
Mailing Address - Phone:413-336-3317
Mailing Address - Fax:
Practice Address - Street 1:243 CHARLES ST # C462 ATTN: JENNA
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-3096
Practice Address - Country:US
Practice Address - Phone:617-573-6001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-16
Last Update Date:2023-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAAUD4841237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter