Individual
MISS ANNALISA MARIE HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
303 WYMAN ST STE 300, WALTHAM, MA 02451-1255
(877) 407-3422
(877) 407-4329
Mailing address
95 GLEZEN ST, WORCESTER, MA 01604-1917
(508) 667-3289
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8551
MA
235Z00000X
Speech-Language Pathologist
SP01139
RI
Other
Enumeration date
06/04/2012
Last updated
03/16/2019
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