Individual
MRS. TERESA OSTDIEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
50 SAINT PETER ST, APARTMENT 302, SALEM, MA 01970-4062
(308) 249-0209
Mailing address
50 SAINT PETER ST, APARTMENT 302, SALEM, MA 01970-4062
(308) 249-0209
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1697
NE
235Z00000X
Speech-Language Pathologist
Primary
SP-9381-SL
MA
Other
Enumeration date
09/24/2014
Last updated
09/24/2014
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