Organization
MARYANNS FAMILY HEARING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARYANN BENCIN MA CCC A (AUDIOLOGIST)
(440) 357-4327
Entity
Organization
Contact information
Practice address
1701 MENTOR AVE, SUITE 5, PAINESVILLE, OH 44077-1459
(440) 357-4327
(440) 357-4328
Mailing address
1701 MENTOR AVE, SUITE 5, PAINESVILLE, OH 44077-1459
(440) 357-4327
(440) 357-4328
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
A00593
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107265
KAISER
OH
Enumeration date
07/16/2006
Last updated
01/07/2015
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