Provider Demographics
NPI:1457417412
Name:HEARING HEALTH CARE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HEARING HEALTH CARE ASSOCIATES, INC.
Other - Org Name:JULIE BOSSENBERRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOSSENBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:203-876-2266
Mailing Address - Street 1:140 BROAD ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460
Mailing Address - Country:US
Mailing Address - Phone:203-876-2266
Mailing Address - Fax:203-882-9640
Practice Address - Street 1:190 MAIN ST
Practice Address - Street 2:
Practice Address - City:EAST HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06512
Practice Address - Country:US
Practice Address - Phone:203-466-3823
Practice Address - Fax:203-466-3823
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-27
Last Update Date:2015-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT00174237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT0V0067OtherHEALTH NET
CT730000174CT02OtherBLUE CROSS
CT4093952Medicaid