Individual
MS. BONNIE JANE PORTER COUTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC SLP
Contact information
Practice address
140 WARREN STREET, SOUTH BAY EARLY INTERVENTION, LOWELL, MA 01852
(978) 452-1736
Mailing address
4 OVERLOOK DRIVE, CHELMSFORD, MA 01824
(978) 250-1608
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2798
MA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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