Individual
ALIZA CATHARINE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
607 NORTH AVE, WAKEFIELD, MA 01880-1322
(781) 245-4446
Mailing address
15 SHAW RD, SWAMPSCOTT, MA 01907-1942
(781) 248-2023
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
FELLOWSHIP
—
Enumeration date
08/31/2021
Last updated
08/31/2021
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