Individual
NAN LYU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
75 BICKFORD ST, JAMAICA PLAIN, MA 02130-1401
(617) 971-2100
Mailing address
11 HAWTHORNE ST, BELMONT, MA 02478-1950
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP100693
MA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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