Individual
MRS. JEAN NICOLE TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
80 ROY AVE, ATTLEBORO, MA 02703-6023
(508) 399-7560
Mailing address
111 ARCADIA AVE, CRANSTON, RI 02910-2301
(401) 391-7345
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP 6758 SL
MA
235Z00000X
Speech-Language Pathologist
SP00788
RI
Other
Enumeration date
11/16/2009
Last updated
06/16/2014
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