Individual
KELLY THOMASSET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
(508) 996-6764
Mailing address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
(508) 996-6764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
92096
MA
Other
Enumeration date
11/30/2006
Last updated
09/23/2013
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