Provider Demographics
NPI:1790164929
Name:COMPREHENSIVE HEARING, LLC
Entity Type:Organization
Organization Name:COMPREHENSIVE HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:DEMPSEY
Authorized Official - Last Name:WALLBERG
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:203-272-4512
Mailing Address - Street 1:415 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410-2555
Mailing Address - Country:US
Mailing Address - Phone:203-272-4512
Mailing Address - Fax:203-272-4517
Practice Address - Street 1:415 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410-2555
Practice Address - Country:US
Practice Address - Phone:203-272-4512
Practice Address - Fax:203-272-4517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-20
Last Update Date:2015-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT314231H00000X, 237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty