Carla Bartolucci

Individual provider Active NPI Hearing Instrument Specialist · West Springfield, MA

NPI 1922400993 · NPPES record last updated Sep 22, 2014

Key facts

NPI
1922400993
Entity type
Individual (NPI type 1)
Primary specialty
Hearing Instrument Specialist 237700000X
License
81 (MA)
Practice address
459 Riverdale St
West Springfield, MA 01089-4605
Phone
(413) 733-3196
Fax
(413) 736-1037
NPI assigned
Sep 22, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
81MAMDAddiction (Substance Use Disorder) Counselor
000434CTMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument Specialist 237700000X 81 MA Yes
Hearing Instrument Specialist 237700000X 000434 CT

Addresses

Primary practice location

459 Riverdale St
West Springfield, MA 01089-4605

Mailing address

459 Riverdale St
West Springfield, MA 01089-4605
Phone (413) 733-3196

Other providers in West Springfield, MA

All providers in West Springfield, MA · Hearing Instrument Specialist in Massachusetts

Sources for this page

Verify at the official NPI Registry.