Provider Demographics
NPI:1881140630
Name:HODGDON, HERBERT II (BS-HIS)
Entity type:Individual
Prefix:MR
First Name:HERBERT
Middle Name:
Last Name:HODGDON
Suffix:II
Gender:M
Credentials:BS-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 INDUSTRIAL PARK DRIVE
Mailing Address - Street 2:SUITE 12
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-8520
Mailing Address - Country:US
Mailing Address - Phone:603-224-9043
Mailing Address - Fax:603-228-2133
Practice Address - Street 1:2 INDUSTRIAL PARK DR
Practice Address - Street 2:SUITE 12
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-8520
Practice Address - Country:US
Practice Address - Phone:603-224-9043
Practice Address - Fax:603-228-2133
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHH23237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist