# SOUTH EAST CENTER FOR SWALLOWING AND COMMUNICATION DISORDERS, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639366867
- **Authorized official:** MRS. KATHLEEN L FITZGERALD MS CCC-SLP (PRESIDENT)
- **Authorized official phone:** (508) 991-2332

## Contact information

- **Practice address:** 92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
- **Practice address phone:** (508) 991-2332
- **Practice address fax:** (508) 991-8437
- **Mailing address:** 92 GRAPE ST, UNIT 1, NEW BEDFORD, MA 02740-2143
- **Mailing address phone:** (508) 991-2332
- **Mailing address fax:** (508) 991-8437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/02/2007
- **Last updated:** 06/21/2018

## 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 |