Individual
JENA H. CASBON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
146 WASHINGTON AVE, WEST NEWTON, MA 02465-1026
(617) 794-6956
Mailing address
146 WASHINGTON AVE, WEST NEWTON, MA 02465-1026
(617) 794-6956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6910
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/08/2008
Last updated
07/08/2008
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