Provider Demographics
NPI:1407362577
Name:OSIS, DONNA M (LHIS)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:OSIS
Suffix:
Gender:F
Credentials:LHIS
Other - Prefix:MRS
Other - First Name:DONNA
Other - Middle Name:M
Other - Last Name:OSIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LHAS
Mailing Address - Street 1:110 BRAEMORE RD
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-8264
Mailing Address - Country:US
Mailing Address - Phone:617-479-7503
Mailing Address - Fax:
Practice Address - Street 1:500 CONGRESS ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-0908
Practice Address - Country:US
Practice Address - Phone:617-479-7503
Practice Address - Fax:617-479-3825
Is Sole Proprietor?:No
Enumeration Date:2017-12-27
Last Update Date:2017-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA456237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist