Provider Demographics
NPI:1891042214
Name:HEAR AGAIN
Entity Type:Organization
Organization Name:HEAR AGAIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUSSOIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:575-647-2107
Mailing Address - Street 1:1595 W AMADOR AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88005-4005
Mailing Address - Country:US
Mailing Address - Phone:575-647-2107
Mailing Address - Fax:575-521-1775
Practice Address - Street 1:1595 W AMADOR AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88005-4005
Practice Address - Country:US
Practice Address - Phone:575-647-2107
Practice Address - Fax:575-521-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-06
Last Update Date:2012-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0710237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty