Individual
MADISON SPEAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
95 EASTERN AVE STE 8, DEDHAM, MA 02026-4582
(617) 996-1210
Mailing address
117 WEBSTER AVE # 2, CAMBRIDGE, MA 02141-1935
(603) 493-5381
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
78376-SP-SL
MA
Other
Enumeration date
02/18/2022
Last updated
03/29/2024
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