Individual
TARA JESSICA LIONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
140 GOULD ST STE 290, NEEDHAM, MA 02494-2397
(781) 400-2605
Mailing address
258 HIGHLAND AVE APT 3, SOMERVILLE, MA 02143-1344
(908) 619-6366
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78383-SP-SL
MA
Other
Enumeration date
12/20/2022
Last updated
12/20/2022
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