Individual
MRS. DONNA MARIE BLAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
139 N MAIN ST, WEST HARTFORD, CT 06107-1264
(860) 557-2227
(860) 570-2227
Mailing address
139 N MAIN ST, WEST HARTFORD, CT 06107-1264
(860) 557-2227
(860) 570-2227
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
000264
CT
231HA2400X
Assistive Technology Practitioner Audiologist
000264
CT
231HA2500X
Assistive Technology Supplier Audiologist
000264
CT
237600000X
Audiologist-Hearing Aid Fitter
000264
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004170726
—
CT
Enumeration date
06/08/2010
Last updated
06/08/2010
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