Provider Demographics
NPI:1841698776
Name:POMEROY, STEPHEN THOMAS (HAD)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:THOMAS
Last Name:POMEROY
Suffix:
Gender:M
Credentials:HAD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8780 US HIGHWAY 42 STE D
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:KY
Mailing Address - Zip Code:41042-6938
Mailing Address - Country:US
Mailing Address - Phone:859-384-0333
Mailing Address - Fax:859-384-1333
Practice Address - Street 1:8780 US HIGHWAY 42 STE D
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:KY
Practice Address - Zip Code:41042-6938
Practice Address - Country:US
Practice Address - Phone:859-384-0333
Practice Address - Fax:859-384-1333
Is Sole Proprietor?:No
Enumeration Date:2014-12-09
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY170797231H00000X, 237700000X, 231HA2500X
IN17001431A231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231HA2500XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology Supplier
No231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist