Individual
MS. ELLEN C. GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Mailing address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2502
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226538
MEDICARE A
MA
01
—
3668706
AETNA
MA
01
—
620733
TUFTS
MA
01
—
626557
HARVARD PILGRIM
MA
01
—
SG0013
BCBSMA
MA
Enumeration date
11/18/2008
Last updated
11/18/2008
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