Doctor Name: | DR. ROGER FAGAN |
NPI Number: | 1720189012 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | AUD |
License Number: | AP25 |
Business Practice Address: | 985 Forest Avenue Portland, ME - 04103 |
Business Phone Number: | 2077978738 |
Business Fax Number: | 2077978650 |
Mailing Address: | 985 Forest Avenue, PORTLAND |
State: | ME |
Postal Code: | 04103 |
Phone Number: | 2077978738 |
Fax Number: | 2077978650 |
NPI Enumeration Date: | 09/26/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 237600000X |
License Number: | AP25 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Audiologist-Hearing Aid Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual |