Organization Name: | AUDIOLOGY CENTER OF MAINE, LLC, PA |
NPI Number: | 1992924518 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARYELLEN B. TOOTHAKER (OWNER) |
Mailing Address: | 77 Beechland Road Ellsworth |
State: | ME US |
Postal Code: | 046052639 |
Phone Number: | 2076642123 |
Fax Number: | 2076670706 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 11/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | AP1053E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |