Organization
COMMUNICARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NERISSA HALL MA.CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(978) 621-7262
Entity
Organization
Contact information
Practice address
360 SEWALL ST, LUDLOW, MA 01056-2711
(413) 875-5531
(413) 213-0386
Mailing address
86 AMHERST RD, BELCHERTOWN, MA 01007-9725
(978) 621-7262
(413) 213-0386
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
004233
CT
235Z00000X
Speech-Language Pathologist
Primary
6486
MA
235Z00000X
Speech-Language Pathologist
7454
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110089776A
—
MA
05
—
110089850A
—
MA
Enumeration date
02/02/2011
Last updated
08/31/2012
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