Individual
MICHELLE GANANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
830 HARRISON AVE STE 1400, BOSTON, MA 02118-2905
(617) 638-8124
Mailing address
9 RIVERSIDE DR, READING, MA 01867-3511
(617) 233-7544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6312
MA
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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