Individual
MS. JUDITH FAYE WISNIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
111 S BEDFORD ST, SUITE 102, BURLINGTON, MA 01803-5145
(781) 272-2100
(781) 272-0404
Mailing address
111 S BEDFORD ST, SUITE 102, BURLINGTON, MA 01803-5145
(781) 272-2100
(781) 272-0404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1553
MA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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