Individual
SUZANNE SCHIAVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
29 HARRISON ST APT F, BOSTON, MA 02131-2164
(216) 224-6658
Mailing address
29 HARRISON ST APT F, BOSTON, MA 02131-2164
(216) 224-6658
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76567-SP-SL
MA
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76567-SP-SL
BOARD OF REGISTRATION FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
MA
Enumeration date
09/05/2013
Last updated
06/30/2024
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