Individual
DR. ELLEN TRAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
150 S HUNTINGTON AVE # 8D, BOSTON, MA 02130-4817
(857) 364-2981
Mailing address
150 S HUNTINGTON AVE # 8D, BOSTON, MA 02130-4817
(857) 364-2981
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
4701
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4701
—
MA
Enumeration date
06/19/2017
Last updated
05/19/2023
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