Datres, Glen P.

Datres, Glen P. is an individual health care provider with primary practice located at 780 S Main St , Great Barrington MA 01230-2148. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Datres, Glen P. can be contacted via phone (413) 528-3606.

Contact Information

Primary practice address
780 S Main St Great Barrington MA 01230-2148
Phone: (413) 528-3606
Fax: (413) 528-3607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 000439 Connecticut
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 802 Massachusetts
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 856 New York

Profile Details

NPI number 1134363971
LBN Legal business name Datres, Glen P.
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2009
Last updated Feb 25th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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