Organization
NORFOLK COUNTY SPEECH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHLEEN ANNE DAVIS M.A., C.C.C./SLP (OWNER)
(617) 823-9079
Entity
Organization
Contact information
Practice address
594 NAHATAN ST, NORWOOD, MA 02062-1445
(617) 823-9079
(781) 762-3122
Mailing address
450 N MAIN ST, SHARON, MA 02067-1172
(617) 823-9079
(781) 762-3122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2214
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0377856
—
MA
Enumeration date
08/07/2012
Last updated
08/07/2012
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