Individual
TATE LOUISE STRACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
220 BEAR HILL RD STE 400, WALTHAM, MA 02451-1004
(781) 790-8479
(781) 281-9181
Mailing address
220 BEAR HILL RD STE 400, WALTHAM, MA 02451-1004
(781) 790-8479
(781) 281-9181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113993
TX
235Z00000X
Speech-Language Pathologist
Primary
77581
MA
Other
Enumeration date
08/27/2019
Last updated
06/04/2020
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