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Individual
SHIRLEY GHERSON
Active
Individual
SHIRLEY GHERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
013453
NY
235Z00000X
Speech-Language Pathologist
6405
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA52132
HARVARD PILGRIM HEALTHCAR
MA
01
—
SP0209
BLUE CROSS BLUE SHIELD
MA
Enumeration date
04/23/2007
Last updated
03/23/2016
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