Individual
ELIZABETH OMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 FOREST ST, ATTLEBORO, MA 02703-2407
(508) 226-6035
Mailing address
25 FOREST ST, ATTLEBORO, MA 02703-2407
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9417
MA
235Z00000X
Speech-Language Pathologist
SL012148
PA
Other
Enumeration date
12/09/2014
Last updated
12/09/2014
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