Individual
MELISSA BORNSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
24 CLARK ST, RANDOLPH, MA 02368-3612
(781) 799-9227
Mailing address
24 CLARK ST, RANDOLPH, MA 02368-3612
(781) 799-9227
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6799
MA
Other
Enumeration date
09/09/2010
Last updated
09/09/2010
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