Individual
LISA HASTINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, CCC-SLP
Contact information
Practice address
35 ELDER ST, DORCHESTER, MA 02125-2212
(617) 288-7405
Mailing address
35 ELDER ST, DORCHESTER, MA 02125-2212
(617) 288-7405
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3118
MA
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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