Individual
BETHANY TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
44 MECHANIC ST, SUITE 206, NEWTON, MA 02464-1499
(617) 431-1176
Mailing address
372 WASHINGTON ST, UNIT E, QUINCY, MA 02169-5649
(508) 527-1522
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6866
MA
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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