Individual
JANE P WHITEHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
145 POMFRET ST, PUTNAM, CT 06260-1803
(860) 928-7330
(860) 928-1907
Mailing address
145 POMFRET ST, PUTNAM, CT 06260-1803
(860) 928-7330
(860) 928-1907
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
197
CT
237600000X
Audiologist-Hearing Aid Fitter
197
CT
Other
Enumeration date
10/08/2008
Last updated
10/27/2017
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