Individual
MS. JULIA CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Mailing address
5 N MEADOWS RD, SLP ASSOCIATES, PC, MEDFIELD, MA 02052-2317
(508) 359-4532
(508) 359-0198
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2150
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942270574
GROUP NPI
MA
01
—
3668706
AETNA
MA
01
—
469967
TUFTS INDIVIDUAL
—
01
—
620733
TUFTS GROUP
MA
01
—
626557
HPHC
MA
01
—
SG0013
BSBS GROUP
MA
01
—
SP0065
BCBS SPEECH PATHOLOGIST
MA
Enumeration date
11/01/2006
Last updated
07/08/2007
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