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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 1601000465 | MI | Speech, Language and Hearing Service Providers |
| Street Address |
2421 MONROE ST STE 202 |
| City | DEARBORN |
| State | MI |
| Zip Code | 48124-3043 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396389524 | Pharma A, LLC | Pharmacy | 23916 Michigan Ave, Dearborn, MI 48124 | 2019-10-31 |
| 1225683725 | Aysha Said | Behavior Technician | 1369 Porter St, Dearborn, MI 48124 | 2019-08-02 |
| 1881257772 | Leen Nusairat | Internal Medicine | Beaumont Health-dearborn Campus, 18101 Oakwood Blvd, Dearborn, MI 48124 | 2019-04-17 |
| 1417413360 | Gary C. Veraghen, Dds, PC | Dentist | 22100 W. Outer Drive, Dearborn, MI 48124 | 2019-02-15 |
| 1982168787 | Fnu Asma Manzar | Physical Therapist | Global Physical Therapy Services, Inc, 22819 Michigan Avenue, Dearborn, MI 48124 | 2019-01-25 |
| 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 |
| 1669961942 | Jacqueline E Domzalski | Technician, Other | 3231 S. Gulley, Suite E, Dearborn, MI 48124 | 2018-05-02 |
| Find all providers in zip 48124 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (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 |
| 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 |
| Find all providers in DEARBORN | ||||
Please comment or provide details below to improve the information on MS. JOANNA ROSE FENNELLY.
| 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.