Individual
VAIDEHI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
380R MERRIMACK ST, METHUEN, MA 01844-5883
(978) 688-1176
Mailing address
41 GOULD RD, ANDOVER, MA 01810-5210
(562) 896-1278
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14154592
MA
Other
Enumeration date
06/04/2018
Last updated
04/18/2019
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