Provider Demographics
NPI:1912433020
Name:MCNULTY HEARING COMPANIES LLC
Entity Type:Organization
Organization Name:MCNULTY HEARING COMPANIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCNULTY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:781-789-5955
Mailing Address - Street 1:1 ELM SQ
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3643
Mailing Address - Country:US
Mailing Address - Phone:978-475-9595
Mailing Address - Fax:
Practice Address - Street 1:1 ELM SQ
Practice Address - Street 2:MAIL BOX 21
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3643
Practice Address - Country:US
Practice Address - Phone:978-475-9595
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-10
Last Update Date:2017-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA632231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty