Individual
RACHEL ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 MAIN ST, EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608-1893
(800) 244-2756
(508) 831-9768
Mailing address
88 CLIFTON ST, CAMBRIDGE, MA 02140-1711
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8870
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8870
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
05/09/2013
Last updated
05/09/2013
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