Individual
EILEEN PHANEUF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.C.C.-SLP
Contact information
Practice address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Mailing address
535 FAUNCE CORNER RD, DARTMOUTH, MA 02747-1242
(508) 996-3991
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
874
MA
Other
Enumeration date
06/08/2011
Last updated
06/08/2011
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