Individual
CHARISA EBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
800 TECHNOLOGY CENTER DR STE 110, STOUGHTON, MA 02072-4721
(508) 838-3738
Mailing address
108 WOODSTOCK RD, ATTLEBORO, MA 02703-6713
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
2380-SP-SA
MA
235Z00000X
Speech-Language Pathologist
Primary
78723-SP-SL
MA
Other
Enumeration date
02/25/2022
Last updated
11/18/2022
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