Provider Demographics
NPI:1235312851
Name:WEINSTEIN, DAYNA SUE (MS, CCC-A)
Entity Type:Individual
Prefix:MS
First Name:DAYNA
Middle Name:SUE
Last Name:WEINSTEIN
Suffix:
Gender:F
Credentials:MS, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1410 HIGHLAND AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-2671
Mailing Address - Country:US
Mailing Address - Phone:781-444-9595
Mailing Address - Fax:781-444-9533
Practice Address - Street 1:1410 HIGHLAND AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-2671
Practice Address - Country:US
Practice Address - Phone:781-444-9595
Practice Address - Fax:781-444-9533
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2007-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA224W237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA007464OtherMEDICARE PTAN