Individual
MS. AMY KATHERINE EBERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 WAVERLEY OAKS RD, SUITE 305, WALTHAM, MA 02452-8448
(781) 894-6564
Mailing address
441 WAVERLY OAKS RD, BUILDING #3, SUITE 305, WALTHAM, MA 02452
(781) 894-6564
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7731
MA
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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