Individual
KIRSTEN PELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
15 GREEN ST, WINGATE AT MELROSE, MELROSE, MA 02176-2811
(781) 664-3950
Mailing address
5 N MEADOWS RD, SPEECH-LANGUAGE & HEARING ASSOCIATES, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
7755
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
226538
MEDICARE A-ORF
MA
01
—
620733
TUFTS
MA
01
—
626557
HARVARD PILGRIM
MA
01
—
SG0013
BLUE CROSS BLUE SHIELD
MA
01
—
SL-M21875
MEDICARE B
MA
Enumeration date
06/14/2010
Last updated
05/31/2016
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