Individual
COURTNEY SOUZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1266 FURNACE BROOK PKWY STE 100B, QUINCY, MA 02169-4789
(617) 433-7699
Mailing address
941 FURNACE BROOK PKWY APT 4, QUINCY, MA 02169-1654
(617) 429-5453
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77528-SP-SL
MA
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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