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Organization
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Active
Organization
SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN L FITZGERALD MS CCC-SLP (PRESIDENT)
(508) 991-2332
Entity
Organization
Contact information
Practice address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Mailing address
92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
(508) 991-2332
(508) 991-8437
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NULL
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0G0068
BLUE CROSS BLUE SHIELD OF MASSACHUSETTS
MA
01
—
691582
TUFTS HEALTHCARE
MA
05
—
9737570
—
MA
01
—
AA14788
HARVARD PILGRIM HEALTHCARE
MA
Enumeration date
10/02/2007
Last updated
06/21/2018
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