Individual
MS. PAMELA JANE IGELSRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
172 LAWRENCE ST, LAWRENCE, MA 01841-3849
(978) 685-6321
Mailing address
586 MERRIMACK ST UNIT 5E, LOWELL, MA 01854-3944
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77952
MA
235Z00000X
Speech-Language Pathologist
ST2851
ME
Other
Enumeration date
07/27/2018
Last updated
05/02/2021
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