Provider Demographics
NPI:1710968862
Name:SCHEPIS-TZENG, ELENA (AUD)
Entity Type:Individual
Prefix:MRS
First Name:ELENA
Middle Name:
Last Name:SCHEPIS-TZENG
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:MS
Other - First Name:ELENA
Other - Middle Name:
Other - Last Name:SCHEPIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CCC-A
Mailing Address - Street 1:20 EAST STREET
Mailing Address - Street 2:UNIT 1
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339
Mailing Address - Country:US
Mailing Address - Phone:781-924-3648
Mailing Address - Fax:781-658-2538
Practice Address - Street 1:20 EAST STREET
Practice Address - Street 2:UNIT 1
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339
Practice Address - Country:US
Practice Address - Phone:781-924-3648
Practice Address - Fax:781-658-2538
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA736231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA5104017Medicaid
MA5104017Medicaid