Individual
SARA DEMATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
163 LIBBEY INDUSTRIAL PKWY, SUITE 302, WEYMOUTH, MA 02189-3137
(781) 335-6663
Mailing address
428 E 3RD ST, APT #1, BOSTON, MA 02127-1412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6590
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SP0245
BCBS
MA
Enumeration date
04/04/2007
Last updated
09/11/2008
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