Individual
JEREMY WOLFBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
1 BOWDOIN ST # 11, BOSTON, MA 02114-4201
(617) 726-1444
Mailing address
470 COMMERCIAL ST APT 5, BOSTON, MA 02109-1058
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6048-154
WI
235Z00000X
Speech-Language Pathologist
Primary
SLP100354
MA
Other
Enumeration date
08/09/2022
Last updated
03/03/2026
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