Basic Information
| Provider Information | |||||||||
| NPI: | 1750892733 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAIER-GREEN | ||||||||
| FirstName: | ZOE | ||||||||
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| Credential: | AUD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 26 CITY HALL MALL | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021554754 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813065100 | ||||||||
| FaxNumber: | 7813065379 | ||||||||
| Practice Location | |||||||||
| Address1: | 26 CITY HALL MALL | ||||||||
| Address2: | |||||||||
| City: | MEDFORD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 02155 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813065100 | ||||||||
| FaxNumber: | 7813065379 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2017 | ||||||||
| LastUpdateDate: | 05/14/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 231H00000X | 002743 | NY | N | Speech, Language and Hearing Service Providers | Audiologist | 231H00000X | 4722 | MA | Y | Speech, Language and Hearing Service Providers | Audiologist |
No ID Information.