Individual
THERESE MARIE KOUSSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-A
Contact information
Practice address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Mailing address
25 NEEDHAM ST, NEWTON, MA 02461-1615
(617) 964-6681
(617) 630-0141
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD00069
RI
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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