Individual
MRS. HEATHER FRASER REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
320 MAIN ST, WEST NEWBURY, MA 01985-1420
(978) 363-5553
Mailing address
320 MAIN ST, P. O. BOX 956, WEST NEWBURY, MA 01985-1420
(978) 363-5553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6679
MA
Other
Enumeration date
01/25/2008
Last updated
01/25/2008
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