Individual
MAUREEN WHITTEMORE MOYNIHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
4901 N MAIN ST, FALL RIVER, MA 02720-2080
(508) 675-1001
Mailing address
8 COLE AVE, PROVIDENCE, RI 02906-4502
(210) 632-4624
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
113364
TX
235Z00000X
Speech-Language Pathologist
Primary
77564
MA
235Z00000X
Speech-Language Pathologist
SP01562
RI
Other
Enumeration date
08/19/2020
Last updated
08/19/2020
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