GLEN P. DATRES

GREAT BARRINGTON, MA
NPI1134363971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: CT  000439)
Additional Taxonomies231H00000X Audiologist
(Licence: MA  802)
231H00000X Audiologist
(Licence: NY  856)
Enumeration Date2009-04-23
Last Update Date2013-02-25
Business Address
Dr. GLEN P. DATRES Au.D.
780 S MAIN ST
GREAT BARRINGTON, MA 01230-2148
Phone number: 413-528-3606
Mailing Address
Dr. GLEN P. DATRES Au.D.
725 NORTH ST
PITTSFIELD, MA 01201-4109
Phone number: 413-447-2752