Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GLEN P. DATRES, AU.D.
ActiveDR. GLEN P. DATRES, AU.D. is a Audiologist healthcare provider located in GREAT BARRINGTON, Massachusetts. NPI 1134363971 is currently active in the NPPES registry. Verify at CMS.
Audiologist · GREAT BARRINGTON, MA
Registration Details
- NPI Number
- 1134363971
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 23, 2009 (17.123393524002 yrs)
- Last Updated
- Feb 25, 2013
- Licenses
-
000439 (CT)802 (MA)856 (NY)
Practice Information
- Address
-
780 S MAIN STGREAT BARRINGTON, MA, 012302148Browse MA providers · Browse ZIP 01230
- Phone
- 4135283606
- Fax
- 4135283607
- Primary Specialty
-
Audiologist
231H00000X
- Additional Specialty
- Audiologist
- Additional Specialty
- Audiologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.