Active NPIIndividual provider

Therese M Koussa, CCC-A

Audiologist in Newton, Massachusetts

NPI Number1447302278
Practice location
25 Needham St, Newton, MA 02461-1615
Fax
617-630-0141
Last updated
July 8, 2007

Therese Marie Koussa is an Audiologist based in Newton, MA. Therese Marie Koussa practices in Newton, MA and has the professional credentials of CCC-A. The NPI Number for Therese Marie Koussa is 1447302278 and holds a License No. AUD00069 (RI). The current practice location address for Therese Marie Koussa is 25 Needham St, Newton, MA 02461-1615 and can be reached out via phone at 617-964-6681 and via fax at 617-630-0141.

Provider Profile Details

NPI Number
1447302278
Provider Name
Therese Marie Koussa
Credential
CCC-A
Provider Entity Type
Individual
Gender
Female
Address
25 Needham St, Newton, MA 02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141
Primary Taxonomy
Audiologist · 231H00000X
Sole Proprietor
No
Other Names
-- Therese Marie Tudan (Former Name)
Provider Enumeration Date
January 18, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 Needham St
Newton, MA 02461-1615
City
Newton
Zip
02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141
Newton, MA 02461Get directions →

Provider Business Mailing Address Details

Address
25 Needham St
Newton, MA 02461-1615
City
Newton
State
MA
Zip
02461-1615
Phone Number
617-964-6681
Fax Number
617-630-0141

License Information

License Number
AUD00069
License State
RI
Taxonomy
Audiologist · 231H00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Therese M Koussa, CCC-A?

The NPI number of Therese M Koussa, CCC-A is 1447302278. It was assigned on January 18, 2007 and is currently active in the NPPES registry.

What is the specialty of Therese M Koussa, CCC-A?

Therese M Koussa, CCC-A is registered under the primary taxonomy Audiologist (code 231H00000X), licensed in RI under license number AUD00069.

Where does Therese M Koussa, CCC-A practice?

The practice location is 25 Needham St, Newton, MA 02461-1615. The office can be reached at 617-964-6681 (phone) or 617-630-0141 (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 1447302278 directly on the NPPES registry website.

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