Provider Demographics
NPI:1952638322
Name:WOLFE, ALLISON ANN
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:ANN
Last Name:WOLFE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 794
Mailing Address - Street 2:
Mailing Address - City:FRYEBURG
Mailing Address - State:ME
Mailing Address - Zip Code:04037-0794
Mailing Address - Country:US
Mailing Address - Phone:207-935-1210
Mailing Address - Fax:207-935-1210
Practice Address - Street 1:44 PORTLAND STREET
Practice Address - Street 2:
Practice Address - City:FRYEBURG
Practice Address - State:ME
Practice Address - Zip Code:04037
Practice Address - Country:US
Practice Address - Phone:207-935-1210
Practice Address - Fax:207-935-1210
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-05
Last Update Date:2013-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
237600000X
NY14000021798237700000X
MEDL383237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter