Provider Demographics
NPI:1841320520
Name:RING, WENDY J (MS CCC-A)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:J
Last Name:RING
Suffix:
Gender:F
Credentials:MS CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 CHESTNUT ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3744
Mailing Address - Country:US
Mailing Address - Phone:978-470-4500
Mailing Address - Fax:978-470-0110
Practice Address - Street 1:11 CHESTNUT ST
Practice Address - Street 2:SUITE 6
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3744
Practice Address - Country:US
Practice Address - Phone:978-470-4500
Practice Address - Fax:978-470-0110
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2011-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA428237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5104301Medicaid