Individual
JODI ALYSE SHAPANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
(617) 383-6520
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(617) 383-6522
(617) 383-6520
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5941
MA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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