Individual
ADRIENNE KOENIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
10 BAY VIEW AVE APT 2, SALEM, MA 01970-5704
Mailing address
10 BAY VIEW AVE APT 2, SALEM, MA 01970-5704
(978) 793-3149
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
76855
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14154754
AMERICAN SPEECH LANGUAGE HEARING ASSOCIATION
—
01
—
76855-SP-SL
MASSACHUSETTS BOARD OF REGISTRATION FOR SPEECH-LANGUAGE PATHOLOGY AND AUDIOLOGY
MA
Enumeration date
02/21/2019
Last updated
08/12/2021
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