Individual
LEE ROBIN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
200 GOVERNORS AVE, MEDFORD, MA 02155-1644
(781) 391-5400
Mailing address
13 CRANSTON ST, BOSTON, MA 02130-1805
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76682
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14128999
AMERICAN SPEECH-LANGUAGE HEARING ASSOCIATION
—
01
—
76682
MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
02/13/2018
Last updated
02/13/2018
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