Individual
SHIRA WALLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
2 PORTINA RD, BOSTON, MA 02135-4619
(845) 915-0999
Mailing address
2 PORTINA RD, BOSTON, MA 02135-4619
(845) 915-0999
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6095
NM
Other
Enumeration date
11/04/2016
Last updated
11/04/2016
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