Provider Demographics
NPI:1821356403
Name:MARTHA JOVE-D'AMATO, AU.D., CCC-A, LLC
Entity Type:Organization
Organization Name:MARTHA JOVE-D'AMATO, AU.D., CCC-A, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF AUDIOLOGY
Authorized Official - Prefix:DR
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOVE-D'AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD, CCC-A
Authorized Official - Phone:860-886-1451
Mailing Address - Street 1:127 ONECO ST
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-2936
Mailing Address - Country:US
Mailing Address - Phone:860-886-1451
Mailing Address - Fax:860-889-1242
Practice Address - Street 1:127 ONECO STREET
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360-2936
Practice Address - Country:US
Practice Address - Phone:860-886-1451
Practice Address - Fax:860-889-1242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2012-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000233231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty