Individual
MS. COLLEEN VASQUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-A
Contact information
Practice address
35 PEARL ST STE 100, BROCKTON, MA 02301-2866
(781) 769-3222
(781) 255-9807
Mailing address
35 PEARL ST STE 100, BROCKTON, MA 02301-2866
(781) 769-3222
(781) 255-9807
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
418
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AD 0037
BLUE CROSS PROVIDER NBR.
MA
Enumeration date
03/22/2007
Last updated
02/22/2022
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