Individual
JENNIFER GLASSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
45 PROSPECT ST, CAMBRIDGE, MA 02139-2402
(617) 528-0625
Mailing address
45 PROSPECT ST, CAMBRIDGE, MA 02139-2402
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
111730
TX
235Z00000X
Speech-Language Pathologist
Primary
9992
MA
Other
Enumeration date
04/07/2017
Last updated
04/07/2017
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