Individual
MISS TRACY E BAZEGIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
736 CAMBRIDGE ST, HOQ-GROUND FLOOR, REHAB SERVICES, BOSTON, MA 02135-2907
(617) 562-7735
(617) 562-7115
Mailing address
425 MAIN ST, UNIT 12D, HUDSON, MA 01749-1840
(978) 562-5085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4841
MA
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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