Individual
HALEIGH ELIZABETH KNOWLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
101 AMESBURY ST, LAWRENCE, MA 01840-1323
(978) 975-0395
Mailing address
7 COLLEEN MARY WAY, SOUTH EASTON, MA 02375-1281
(774) 273-1405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
77718
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77718
MASSACHUSETTS BOARD OF REGISTRATION FOR SPEECH LANGUAGE PATHOLOGY AND AUDIOLOGY
MA
Enumeration date
08/07/2020
Last updated
08/07/2020
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