MS. JOANNA ROSE FENNELLY


Address: 2421 Monroe St Ste 202, Dearborn, MI 48124-3043
Phone: 3135624485

MS. JOANNA ROSE FENNELLY (NPI# 1508068446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508068446
Entity Type Individual
Full Name MS. JOANNA ROSE FENNELLY
Credential AUD
Practice Address 2421 Monroe St Ste 202
Dearborn
MI 48124-3043
Mailing Address 328 Scott St
Monroe
MI 48161-2133
Practice Telephone 3135624485
Mailing Telephone 2483210075
Enumeration Date 2007-06-04
Last Update Date 2011-05-27
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 231H00000X Audiologist 1601000465 MI Speech, Language and Hearing Service Providers

Office Location

Street Address 2421 MONROE ST STE 202
City DEARBORN
State MI
Zip Code 48124-3043

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1639640162 Jernia Lashawn Usher Behavior Technician 1360 Porter St Lower Level, Dearborn, MI 48124 2018-12-10
1710456470 Samar Fouad Hannawi Psychologist 3815 Pelham Street, Suite #13, Dearborn, MI 48124 2018-11-24
1881178747 Sarah Chehab Psychologist 835 Mason St Suite 220b, Dearborn, MI 48124 2018-09-17
1568948289 Ibrahim M Basma Pharmacist 22521 Michigan Avenue, Dearborn, MI 48124 2018-07-16
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Taxonomy Information

Taxonomy Code 231H00000X
Grouping Speech, Language and Hearing Service Providers
Classification Audiologist

Taxonomy Definition

(1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy.
Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437329802 Eileen Marie Bessega Audiologist 1937 Golfview Dr, Dearborn, MI 48128-1486 2008-03-03
1851413462 Jody Medvedik Audiologist 2421 Monroe, Dearborn, MI 48124 2007-04-04
1568599298 Malcolm A. Mcadam Audiologist 15901 Longmeadow St, Dearborn, MI 48120-1031 2007-02-28
1457419541 Ear Center Inc Audiologist 2421 Monroe Street, Suite 202, Dearborn, MI 48124 2006-12-04
1649839671 Katie Stevenson Audiologist 2454 Monroe St Ste A, Dearborn, MI 48124-3038 2019-06-12
1982196325 Danny Kewson M.d. P.c Audiologist 2454 Monroe St Ste A, Dearborn, MI 48124 2018-06-01
1285088740 Doryce Iverson Audiologist 2421 Monroe St, 202, Dearborn, MI 48124-3043 2016-04-20
1467834598 Maryam Mohammad-pour Daryaee Audiologist 18181 Oakwood Blvd, Suite 402, Dearborn, MI 48124-5032 2015-06-25
1003295585 Serafina Romano Audiologist 22731 Newman St, Ste 120, Dearborn, MI 48124-2034 2015-05-29
1154725182 Michigan Surgery Specialists Audiologist 22731 Newman St, St 120, Dearborn, MI 48124-2034 2014-10-20
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City DEARBORN
Zip Code 48124

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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