Individual
MS. SUSAN GEYER MALLOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC/SLP
Contact information
Practice address
484 MAIN ST., EASTER SEALS MASSACHUSETTS, WORCESTER, MA 01608
(800) 244-2756
Mailing address
11 BLUEBERRY HILL RD, ANDOVER, MA 01810-5001
(978) 474-0823
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5581
MA
Other
Enumeration date
12/03/2010
Last updated
12/03/2010
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