Provider Demographics
NPI:1821223710
Name:THRESS, ELAINE MARGARET (MA, CCC-A)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:MARGARET
Last Name:THRESS
Suffix:
Gender:F
Credentials:MA, CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 BELLEVUE AVE
Mailing Address - Street 2:AUDIOLOGY DEPARTMENT
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08618-4502
Mailing Address - Country:US
Mailing Address - Phone:609-394-4000
Mailing Address - Fax:609-394-4642
Practice Address - Street 1:446 BELLEVUE AVE
Practice Address - Street 2:AUDIOLOGY DEPARTMENT
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08618-4502
Practice Address - Country:US
Practice Address - Phone:609-394-4000
Practice Address - Fax:609-394-4642
Is Sole Proprietor?:No
Enumeration Date:2009-05-20
Last Update Date:2009-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YA00047000237600000X
NJ25MG00083100237600000X
PAAT-000916-L237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter