Organization
SHORELINE AUDIOLOGY, LLC
Active
Other names
County Hearing and Balance
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY W WORGUL M.S. (PRESIDENT)
(860) 443-6944
Entity
Organization
Contact information
Practice address
167 PARKWAY N, WATERFORD, CT 06385-1200
(860) 739-5670
(860) 442-7906
Mailing address
167 PARKWAY N, WATERFORD, CT 06385-1200
(860) 739-5670
(860) 442-7906
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
070
CT
231HA2400X
Assistive Technology Practitioner Audiologist
070
CT
231HA2500X
Assistive Technology Supplier Audiologist
070
CT
237600000X
Audiologist-Hearing Aid Fitter
070
CT
Other
Enumeration date
06/13/2007
Last updated
11/02/2022
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