Individual
STEPHANIE BEJTLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
107 OTIS ST, NORTHBOROUGH, MA 01532-2459
(508) 898-2688
(508) 319-3200
Mailing address
116 RANTOUL ST, UNIT 503, BEVERLY, MA 01915-4259
(617) 797-6133
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7482
MA
Other
Enumeration date
04/11/2011
Last updated
04/11/2011
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