| Organization Name: | MODERN OTOACOUSTICS LLC |
| NPI Number: | 1215297163 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JESSICA L WILLIAMS (OWNER) |
| Mailing Address: | 22 Glendon St Wolfeboro |
| State: | NH US |
| Postal Code: | 038944481 |
| Phone Number: | 6035692799 |
| Fax Number: | 6035691815 |
| NPI Enumeration Date: | 05/25/2012 |
| NPI Last Update Date: | 05/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 237700000X |
| License Number: | H501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Hearing Instrument Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |