Organization
SPEECH AND LANGUAGE DEVELOPMENT CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH MODE MS, CCC-SLP (SLP)
(413) 732-0777
Entity
Organization
Contact information
Practice address
80 CONGRESS ST STE 106, SPRINGFIELD, MA 01104-3427
(413) 732-0777
(413) 732-0007
Mailing address
80 CONGRESS ST STE 106, SPRINGFIELD, MA 01104-3427
(413) 732-0777
(413) 732-0007
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0714224
—
MA
01
—
1962536862
BMC HEALTHNET
MA
01
—
42703
HEALTH NEW ENGLAND
MA
01
—
732022
CONNECTICARE
CT
01
—
SP0231
BLUE CROSS BLUE SHIELD OF MA
MA
Enumeration date
01/21/2009
Last updated
01/21/2009
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