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Individual

VANESSA M ATHANAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS CCC-SLP

Contact information

Practice address
100 CUMMINGS CTR STE 350G, BEVERLY, MA 01915-6136
(978) 712-0003
Mailing address
30 MASON ST APT 2, BEVERLY, MA 01915-3112

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76901-SP-SL
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
76901-SP-SL
SPEECH LANGUAGE PATHOLOGY
MA
Enumeration date
09/07/2018
Last updated
06/09/2025
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