Dr. Glen P Datres, AUD
Audiologist in Great Barrington, Massachusetts
1134363971- Practice location
- 780 S Main St, Great Barrington, MA 01230-2148
- Phone
- 413-528-3606
- Fax
- 413-528-3607
- Last updated
- February 25, 2013
Glen P. Datres is an Audiologist based in Great Barrington, MA. Glen P. Datres practices in Great Barrington, MA and has the professional credentials of AUD. The NPI Number for Glen P. Datres is 1134363971 and holds a License No. 000439 (CT). The current practice location address for Glen P. Datres is 780 S Main St, Great Barrington, MA 01230-2148 and can be reached out via phone at 413-528-3606 and via fax at 413-528-3607.
Provider Profile Details
- NPI Number
- 1134363971
- Provider Name
- Glen P. Datres
- Credential
- AUD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 780 S Main St, Great Barrington, MA 01230-2148
- Phone Number
- 413-528-3606
- Fax Number
- 413-528-3607
- Primary Taxonomy
- Audiologist · 231H00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 23, 2009
- Last Update Date
- February 25, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 780 S Main St
Great Barrington, MA 01230-2148 - City
- Great Barrington
- State
- Massachusetts
- Zip
- 01230-2148
- Phone Number
- 413-528-3606
- Fax Number
- 413-528-3607
Provider Business Mailing Address Details
- Address
- 725 North St
Pittsfield, MA 01201-4109 - City
- Pittsfield
- State
- MA
- Zip
- 01201-4109
- Phone Number
- 413-447-2752
- Fax Number
- 413-496-6836
License Information
- License Number (1)
- 000439
- License State (1)
- CT
- Taxonomy (1)
- Audiologist · 231H00000X · Primary
- License Number (2)
- 802
- License State (2)
- MA
- Taxonomy (2)
- Audiologist · 231H00000X
- License Number (3)
- 856
- License State (3)
- NY
- Taxonomy (3)
- Audiologist · 231H00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Tanveer Ahmed, MDPsychiatry & Neurology, Psychiatry · NPI 1073750840
- Kenneth G Dempsey, PTPhysical Therapist · NPI 1649238247
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Frequently Asked Questions
What is the NPI number of Dr. Glen P Datres, AUD?
The NPI number of Dr. Glen P Datres, AUD is 1134363971. It was assigned on April 23, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Glen P Datres, AUD?
Dr. Glen P Datres, AUD is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in CT under license number 000439.
Where does Dr. Glen P Datres, AUD practice?
The practice location is 780 S Main St, Great Barrington, MA 01230-2148. The office can be reached at 413-528-3606 (phone) or 413-528-3607 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134363971 directly on the NPPES registry website.