Healthcare Provider Details

I. General information

NPI: 1710968862
Provider Name (Legal Business Name): ELENA SCHEPIS-TZENG AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELENA SCHEPIS M.S., CCC-A

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 07/08/2024
Certification Date: 07/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 WASHINGTON ST
HANOVER MA
02339-1675
US

IV. Provider business mailing address

1112 WASHINGTON ST
HANOVER MA
02339-1675
US

V. Phone/Fax

Practice location:
  • Phone: 781-924-3648
  • Fax: 781-658-2538
Mailing address:
  • Phone: 781-924-3648
  • Fax: 781-658-2538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number736
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: